Organization
OPTUM MEDICAL CARE OF NEW JERSEY PC
Active
Other names
Riverside Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG RAVAJI BRAHMBHATT (CMO)
(201) 706-8490
Entity
Organization
Contact information
Practice address
324 PALISADE AVE, 2ND FL, JERSEY CITY, NJ 07307-1791
(201) 479-8600
(201) 479-8601
Mailing address
1 HARMON PLZ FL 10, SECAUCUS, NJ 07094-2803
(201) 636-7233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
06/02/2023
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