| Onyx Direct Care LLC | |
|
470 Prospect Ave Ste 302 West Orange NJ 07052-4106 | |
| (973) 520-0302 | |
| (973) 306-0703 |
| Full Name | Onyx Direct Care LLC |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 470 Prospect Ave Ste 302, West Orange, New Jersey |
| Authorized Official Name and Position | Christina Hector (OWNER) |
| Authorized Official Contact | 6178170456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onyx Direct Care LLC 470 Prospect Ave Ste 302 West Orange NJ 07052-4106 Ph: (973) 520-0302 | Onyx Direct Care LLC 470 Prospect Ave Ste 302 West Orange NJ 07052-4106 Ph: (973) 520-0302 |
| NPI Number | 1962000166 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962000166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (NU) | Primary |
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