Organization
NORTHWEST ESSEX COMMUNITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIONIA HAGEMAN (OFFICE MANAGER)
(973) 450-3100
Entity
Organization
Contact information
Practice address
570 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1308
(973) 450-3100
Mailing address
570 BELLEVILLE AVENUE, BELLEVILLE, NJ 07109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30202
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008702
—
NJ
Enumeration date
02/17/2017
Last updated
02/17/2017
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