Organization · Type 2 NPI
City of Newark
Federally Qualified Health Center (FQHC) · Newark, NJ
NPI number
1477914612
Active
Practice location
30 N Munn Ave # 30A
Newark, NJ 07106-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 24765 (NJ) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1477914612
City of Newark's National Provider Identifier is 1477914612, issued on Mar 16, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Newark, NJ. The record was last updated on Mar 16, 2016.