| Organization Name: | NORTHWEST NEW JERSEY URGENT CARE ALLIANCE PC |
| NPI Number: | 1003004037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE PATRICK DILLON (DIRECTOR) |
| Mailing Address: | 212 Route 94 Suite 1a Vernon |
| State: | NJ US |
| Postal Code: | 074623328 |
| Phone Number: | 9732092260 |
| Fax Number: | 9732091895 |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |