Organization
MID-ESSEX HEALTHCARE PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD W TOLIVER MD (PRESIDENT /CEO)
(973) 676-6207
Entity
Organization
Contact information
Practice address
310 CENTRAL AVE, STE 201, EAST ORANGE, NJ 07018-2835
(973) 676-6207
Mailing address
PO BOX 2303, EAST ORANGE, NJ 07019-2303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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