Organization · Type 2 NPI
Montclair Urological Group
Specialist · Glen Ridge, NJ
NPI number
1104955798
Active
Practice location
777 Bloomfield Ave
Glen Ridge, NJ 07028-2325
Fax (973) 429-8765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA26559 (NJ) |
Specialist: 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.
3 other providers at this address
Other specialist providers in Glen Ridge
About NPI 1104955798
Montclair Urological Group's National Provider Identifier is 1104955798, issued on Mar 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glen Ridge, NJ. The record was last updated on Aug 22, 2020.