Organization · Type 2 NPI

Premise Health of New Jersey Medical, P.c.

Multi-Specialty Clinic/Center · Newark, NJ

NPI number 1396454765 Active

Practice location

390 E Port St
Newark, NJ 07114-3115

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1396454765

Premise Health of New Jersey Medical, P.c.'s National Provider Identifier is 1396454765, issued on Nov 15, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Newark, NJ. The record was last updated on Nov 15, 2022.