Organization · Type 2 NPI

Evernorth Care Providers - New Jersey PC

General Practice Physician · Totowa, NJ

NPI number 1174874200 Active

Practice location

999 Riverview Dr Fl 2
Totowa, NJ 07512-1164

Fax (312) 564-4059

Mailing address

730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1174874200

Evernorth Care Providers - New Jersey PC's National Provider Identifier is 1174874200, issued on Sep 28, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Totowa, NJ. The record was last updated on Jul 14, 2025.