COUNTY OF ESSEX

NPI: 1437107646 · Organization · Active

Primary Specialty

Internal Medicine Physician
Internal Medicine

Practice Location

204 GROVE AVE
CEDAR GROVE, NJ 07009-1436 Map ↗
Phone: 973-571-2800
Fax: 973-571-2899

All Specialties & Licenses

  • Internal Medicine Physician Primary (license: 50706, NJ)

NPI Registration

Enumerated: 2006-05-04

Last CMS Update: 2007-10-04

Deactivated: 2006-05-10

Reactivated: 2006-05-19