Organization · Type 2 NPI

City of Newark

Federally Qualified Health Center (FQHC) · Newark, NJ

NPI number 1720539620 Active

Practice location

110 William St
Newark, NJ 07102-1304

Fax (973) 733-5492

Mailing address

276-300 Clinton Avenue
Newark, NJ 07108

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1720539620

City of Newark's National Provider Identifier is 1720539620, issued on Oct 17, 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 Oct 17, 2016.