Organization · Type 2 NPI
Diagnosis Center of Excellence
Specialist · Jersey City, NJ
NPI number
1174856595
Active
Practice location
575 Liberty Ave
Jersey City, NJ 07307-3910
Fax (201) 656-6366
Mailing address
5005 Bergenline Ave
West New York, NJ 07093-5563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA54305 (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.
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About NPI 1174856595
Diagnosis Center of Excellence's National Provider Identifier is 1174856595, issued on Sep 16, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jersey City, NJ. The record was last updated on Oct 23, 2009.