Medexpress Urgent Care - Northern New Jersey, PC
Clinic/Center, Urgent Care in Ledgewood, NJ. Organization (NPI-2).
NPI number1528476751
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1528476751
- Entity type
- Organization (NPI-2)
- Legal business name
- Medexpress Urgent Care - Northern New Jersey, PC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2014
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – |
Other names
- Medexpress Urgent Care - Ledgewood, State Route 10 (Doing Business As)
Practice location
501 State Route 10Ledgewood, NJ 07852-9667
Phone 973-584-6751 · Fax 973-584-6753
Mailing address
1001 Consol Energy DrCanonsburg, PA 15317-6506
Phone 304-225-2500 · Fax 724-743-1133
Authorized official
Brett Gall
Director Payor Contracting
3042252500
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