CITY OF NEWARK

NPI # 

Practice Address:

30 N Munn Ave # 30A

Newark, NJ, 07106-1411

Practice Phone:

973-877-6111

License Number:

24765

License State:

NJ

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X