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Essex Ob-gyn, Llc
Medical Specialty Clinic/Center in Montclair, New Jersey
NPI 1811017361

Essex Ob-gyn, Llc is a Medical Specialty Clinic/Center based in Montclair, NJ and is specialized in Medical Specialty. Essex Ob-gyn, Llc practices in Montclair, NJ. The NPI Number for Essex Ob-gyn, Llc is 1811017361 and holds a License No. 25MA06099300 (New Jersey).

The current practice location address for Essex Ob-gyn, Llc is 85 Park St, Montclair, NJ and can be reached out via phone at 973-509-3888 and via fax at 973-509-3880.

Location: 85 Park St, Montclair, NJ, 07042-3465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811017361
Provider Name
Essex Ob-gyn, Llc
Credential
Provider Entity Type
Organization
Address
85 Park St, Montclair, NJ, 07042-3465
Phone Number
973-509-3888
Fax Number
973-509-3880
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962450254 01 NJ NPI
institution
Provider Business Practice Location Address Details
Address
85 Park St
City
Montclair
State
New Jersey
Zip
07042-3465
Phone Number
973-509-3888
Fax Number
973-509-3880
person
Provider Business Mailing Address Details
Address
85 Park St
City
Montclair
State
New Jersey
Zip
07042-3465
Phone Number
973-509-3888
Fax Number
973-509-3880
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA06099300 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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