Organization
COUNTY OF UNION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KOLANO (BILLING COORDINATOR)
(201) 315-3629
Entity
Organization
Contact information
Practice address
1000 MORRIS AVE, UNION, NJ 07083
(908) 518-5625
Mailing address
400 NORTH AVE E., WESTFIELD, NJ 07090
(908) 518-5625
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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