Organization · Type 2 NPI
Premise Health of New Jersey Medical, P.c
Occupational Medicine Clinic/Center · Wayne, NJ
NPI number
1679164024
Active
Practice location
150 Parish Dr
Wayne, NJ 07470-6009
Fax (973) 305-2815
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
About NPI 1679164024
Premise Health of New Jersey Medical, P.c's National Provider Identifier is 1679164024, issued on Jan 28, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Wayne, NJ. The record was last updated on Aug 23, 2022.