Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Active
Other names
University Neurological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2550
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5475601
—
NJ
Enumeration date
08/08/2006
Last updated
07/15/2021
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