Organization
PHOENIX MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLEMENTE M.D. (PRINCIPAL)
(732) 294-0200
Entity
Organization
Contact information
Practice address
1001 US HIGHWAY 9, HOWELL, NJ 07731-3301
(732) 761-2525
(732) 761-1566
Mailing address
1001 US HIGHWAY 9, HOWELL, NJ 07731-3301
(732) 761-2525
(732) 761-1566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07402500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054950
—
NJ
Enumeration date
05/19/2006
Last updated
08/22/2020
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