| Urban Healthcare Initiative Program Inc | |
|
613 Park Avenue East Orange NJ 07017 | |
| (908) 625-7887 | |
| Not Available |
| Full Name | Urban Healthcare Initiative Program Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 613 Park Avenue, East Orange, New Jersey |
| Authorized Official Name and Position | Eric David Thomas (VICE PRESIDENT) |
| Authorized Official Contact | 9086257887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Healthcare Initiative Program Inc 613 Park Ave East Orange NJ 07017-1905 Ph: (908) 625-7887 | Urban Healthcare Initiative Program Inc 613 Park Avenue East Orange NJ 07017 Ph: (908) 625-7887 |
| NPI Number | 1275833857 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275833857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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