| Weequahic Park Sports Authority | |
|
92 Thomas Carmichael Drive Newark NJ 07114 | |
| (973) 877-9772 | |
| (973) 877-9772 |
| Full Name | Weequahic Park Sports Authority |
|---|---|
| Speciality | Non-emergency Medical Transport (van) |
| Location | 92 Thomas Carmichael Drive, Newark, New Jersey |
| Authorized Official Name and Position | Douglas Freeman (PRESIDENT) |
| Authorized Official Contact | 9738779772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weequahic Park Sports Authority Po Box 4252 Newark NJ 07112-0252 Ph: (973) 877-9772 | Weequahic Park Sports Authority 92 Thomas Carmichael Drive Newark NJ 07114 Ph: (973) 877-9772 |
| NPI Number | 1417808411 |
|---|---|
| Provider Enumeration Date | 02/05/2026 |
| Last Update Date | 02/05/2026 |
| Certification Date | 02/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417808411 | NPI | - | NPPES |
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