Organization · NPI-2

347 Lyons Avenue Medical Center LLC

Legal Medicine · Newark, NJ

NPI number1386829778
StatusActive
Last updated in NPPESJan 3, 2008

Details

NPI
1386829778
Entity type
Organization (NPI-2)
Legal business name
347 Lyons Avenue Medical Center LLC
Organization subpart
No
Enumeration date
Jan 3, 2008
Last updated
Jan 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine––Yes

Practice location

347 Lyons Ave
Newark, NJ 07112-1440

Phone 973-923-5771 · Fax 973-923-0532

Mailing address

62 Williamson Ave
Hillside, NJ 07205-1606

Phone 973-923-5771 · Fax 973-923-0532

Authorized official

Irvin Muse
Owner
9739235771

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