Organization · Type 2 NPI

Ewr Medport

Occupational Medicine Clinic/Center · Newark, NJ

NPI number 1871890079 Active

Practice location

339 Brewster Rd, Ste 201
Newark, NJ 07114

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center 261QM1300X25MA08091000 (NJ)
Occupational Medicine Clinic/Center Primary 261QX0100X38MC00672500 (NJ)

Occupational Medicine Clinic/Center: Definition to come...

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About NPI 1871890079

Ewr Medport's National Provider Identifier is 1871890079, issued on Feb 24, 2011. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Newark, NJ. The record was last updated on Feb 24, 2011.