Organization
SBMC PROVIDER SERVICES
Active
Organization
SBMC PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MINTZ (DIR. FINANCE)
(732) 423-7497
Entity
Organization
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(732) 423-7497
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(732) 423-7497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
02/10/2017
Last updated
07/13/2020
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