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Premier Urology Group Llc
Specialist in West Orange, New Jersey
NPI 1043533805

Premier Urology Group Llc is a Specialist based in West Orange, NJ. Premier Urology Group Llc practices in West Orange, NJ. The NPI Number for Premier Urology Group Llc is 1043533805 and holds a License No. 25MA04379500 (New Jersey).

The current practice location address for Premier Urology Group Llc is 743 Northfield Ave, West Orange, NJ and can be reached out via phone at 973-325-0091.

Location: 743 Northfield Ave, West Orange, NJ, 07052-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043533805
Provider Name
Premier Urology Group Llc
Credential
Provider Entity Type
Organization
Address
743 Northfield Ave, West Orange, NJ, 07052-1107
Phone Number
973-325-0091
Fax Number
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
743 Northfield Ave
City
West Orange
State
New Jersey
Zip
07052-1107
Phone Number
973-325-0091
Fax Number
person
Provider Business Mailing Address Details
Address
743 Northfield Ave
City
West Orange
State
New Jersey
Zip
07052-1107
Phone Number
973-325-0091
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA04379500 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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