Organization
SPECTRUM HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD P COX (EXECUTIVE DIRECTOR)
(201) 860-6100
Entity
Organization
Contact information
Practice address
74 PACIFIC AVE, JERSEY CITY, NJ 07304-3216
(201) 860-6100
(201) 860-7864
Mailing address
74 PACIFIC AVE, 80, JERSEY CITY, NJ 07304-3216
(201) 860-6100
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
10CC00058200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7605706
WFNJ
NJ
Enumeration date
10/05/2012
Last updated
10/05/2012
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