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Contact Information

R M C N J PA
667 EAGLE ROCK AVE
WEST ORANGE, NJ07052-2177
 Phone: 973-731-8112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for R M C N J PA · (Female)

NPI Number 1770632879
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA05832500
  • NJ Medicaid 6543006
  • Other 5444128 AETNA PIN
  • Other P2823540 OXFORD PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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