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Organization

CHANGEBRIDGE MEDICAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARNOLD PALLAY M.D (MEDICAL DIRECTOR)
(973) 575-5540
Entity
Organization

Contact information

Practice address
170 CHANGEBRIDGE RD., SUITE C-3, MONTVILLE, NJ 07045-9112
(973) 575-5540
(973) 575-4885
Mailing address
170 CHANGEBRIDGE RD, SUITE C-3, MONTVILLE, NJ 07045-9112
(973) 575-5540
(975) 575-4885

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5655102
NJ
Enumeration date
04/12/2007
Last updated
09/03/2009
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