Organization
NJ MULTI SPECIALTY & ACUTE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTIALING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
1 JOURNAL SQUARE PLZ STE 303, JERSEY CITY, NJ 07306-4004
(914) 376-6100
(914) 470-5056
Mailing address
9 LAKE CREST DR, MILFORD, DE 19963-9659
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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