East Orange Medical Practice
Internal Medicine in East Orange, New Jersey
1114116175- Practice location
- 108 S Munn Ave, East Orange, NJ 07018-3402
- Phone
- 973-674-8100
- Fax
- 973-674-8400
- Last updated
- October 16, 2007
East Orange Medical Practice is a healthcare organization based in East Orange, NJ. East Orange Medical Practice practices in East Orange, NJ. The NPI Number for East Orange Medical Practice is 1114116175 and holds a License No. 25MA08005400 (NJ). The current practice location address for East Orange Medical Practice is 108 S Munn Ave, East Orange, NJ 07018-3402 and can be reached out via phone at 973-674-8100 and via fax at 973-674-8400.
Provider Profile Details
- NPI Number
- 1114116175
- Provider Name
- East Orange Medical Practice
- Provider Entity Type
- Organization
- Address
- 108 S Munn Ave, East Orange, NJ 07018-3402
- Phone Number
- 973-674-8100
- Fax Number
- 973-674-8400
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Robert A Clarke, MD · Director · 973-674-8100
- Provider Enumeration Date
- October 16, 2007
- Last Update Date
- October 16, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 S Munn Ave
East Orange, NJ 07018-3402 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3402
- Phone Number
- 973-674-8100
- Fax Number
- 973-674-8400
Provider Business Mailing Address Details
- Address
- 108 S Munn Ave
East Orange, NJ 07018-3402 - City
- East Orange
- State
- NJ
- Zip
- 07018-3402
- Phone Number
- 973-674-8100
- Fax Number
- 973-674-8400
License Information
- License Number
- 25MA08005400
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near East Orange, NJ
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- Deepa Rajiv, MDInternal Medicine · NPI 1891808390
Frequently Asked Questions
What is the NPI number of East Orange Medical Practice?
The NPI number of East Orange Medical Practice is 1114116175. It was assigned on October 16, 2007 and is currently active in the NPPES registry.
What is the specialty of East Orange Medical Practice?
East Orange Medical Practice is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08005400.
Where does East Orange Medical Practice practice?
The practice location is 108 S Munn Ave, East Orange, NJ 07018-3402. The office can be reached at 973-674-8100 (phone) or 973-674-8400 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114116175 directly on the NPPES registry website.