CITY OF NEWARK

NPI # 

Practice Address:

140 Bergen Street

Newark, NJ, 07103

Practice Phone:

973-733-7600

License Number:

70782

License State:

NJ

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X