Organization · Type 2 NPI
Classic Medical Practice
Multi-Specialty Clinic/Center · Union, NJ
NPI number
1255165072
Active
Practice location
540 North Ave Ste 3
Union, NJ 07083-7149
Mailing address
1105 Galloping Hill Rd
Elizabeth, NJ 07208-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Union
About NPI 1255165072
Classic Medical Practice's National Provider Identifier is 1255165072, issued on Aug 26, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Union, NJ. The record was last updated on Aug 26, 2024.