Organization · Type 2 NPI

Montclair State University Health Center

Student Health Clinic/Center · Montclair, NJ

NPI number 1497979132 Active

Practice location

One Normal Ave, Montclair State University Health Center
Montclair, NJ 07043

Fax (973) 655-4159

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1497979132
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Montclair State University

Other names

<unavail>
Montclair State University Health Center · doing business as
Montclair State University Health Center · doing business as
University Health Center · other name

Authorized official

Ms. Donna McMonagle
Vice President for Finance and Trea
(973) 655-5105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497979132

Montclair State University Health Center's National Provider Identifier is 1497979132, issued on Apr 12, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Montclair, NJ. The record was last updated on Jun 11, 2020.