Organization Name: | URGENT MEDICAL CARE@HACKENSACK |
NPI Number: | 1013184894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES RICHARD CLIFFORD (MEDICAL DIRECTOR) |
Mailing Address: | 493 Essex St 2nd Floor Hackensack |
State: | NJ US |
Postal Code: | 076011215 |
Phone Number: | 2016210911 |
Fax Number: | 2016210896 |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 08/21/2009 |
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: |