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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
Authorized Official:  SIMI  BAKSHI  CHIEF FINANCIAL OFFICER  973-9726713

Practice Location:
30 BERGEN ST ADMC 121205 NEWARK, NJ 07107 US
Tel: 973-972-0037  Fax: 973-972-9355

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
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
X103T00000XBehavioral Health & Social Service Providers
Psychologist
X2084P0800XPhysicians
Psychiatry & Neurology
X2084P0804XPhysicians
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







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