| New Jersey Star Aco, Inc. | |
|
1719 Route 10 Suite 303 Parsippany NJ 07054-4507 | |
| (973) 292-9496 | |
| (973) 292-1050 |
| Full Name | New Jersey Star Aco, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1719 Route 10, Parsippany, New Jersey |
| Authorized Official Name and Position | Jane Liss (CEO) |
| Authorized Official Contact | 9732929496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Star Aco, Inc. 1719 Route 10 Suite 303 Parsippany NJ 07054-4507 Ph: (973) 292-9496 | New Jersey Star Aco, Inc. 1719 Route 10 Suite 303 Parsippany NJ 07054-4507 Ph: (973) 292-9496 |
| NPI Number | 1447689427 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447689427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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