Organization
MONTCLAIR ENDOCRINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIS R DAVIS M.D. (PARTNER)
(973) 744-3733
Entity
Organization
Contact information
Practice address
119 GROVE ST, MONTCLAIR, NJ 07042-4044
(973) 744-3733
(973) 744-6996
Mailing address
PO BOX 43545, UPPER MONTCLAIR, NJ 07043-0545
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
12/16/2011
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