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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Clinical Neuropsychologist

Newark, New Jersey

Provider NPI: 1598775199

Organization Information:
Organization Name:  UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Organization is Subpart
Authorized Official:  DAVID  HAIER  CEO/EXECUTIVE DIRECTOR  973-9729503

Practice Location:
185 S ORANGE AVE  NEWARK, NJ 07103 US
Tel: 973-972-2977  Fax: --

Business Mailing Address:
30 BERGEN ST ADMC 121205 NEWARK, NJ 07107 US
Tel: 973-972-0037  Fax: 973-972-9355

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
N2084P0800XPhysicians
Psychiatry & Neurology
N2084P0804XPhysicians
Psychiatry & Neurology

Other Provider Identifiers:

IssuerNumberStateType
2814731NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NJ - Page 1

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