| Organization Name: | US MEDGROUP OF NEW JERSEY, P.A. |
| NPI Number: | 1194911172 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | W TOM FOGARTY (EVP, CMO) |
| Mailing Address: | 989 Corporate Blvd Suite A Linthicum |
| State: | MD US |
| Postal Code: | 210902227 |
| Phone Number: | 8888093214 |
| Fax Number: | 4108504264 |
| NPI Enumeration Date: | 09/24/2007 |
| NPI Last Update Date: | 05/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |