Drs Medical Associates, LLC
Nurse Practitioner, Family in Newark, NJ. Organization (NPI-2).
NPI number1982136958
StatusActive
Last updated in NPPESMar 29, 2017
Details
- NPI
- 1982136958
- Entity type
- Organization (NPI-2)
- Legal business name
- Drs Medical Associates, LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2017
- Last updated
- Mar 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00540300 | NJ | Yes |
Practice location
150 Bergen StNewark, NJ 07103-2496
Phone 973-972-6000
Mailing address
117 Birchwood TerClifton, NJ 07012-2333
Authorized official
Ray Santos
Owner
2017063808
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