CITY OF NEWARK

NPI # 

Practice Address:

110 William St

Newark, NJ, 07102-1304

Practice Phone:

973-877-6111

Practice Fax:

973-733-4328

License Number:

24148

License State:

NJ

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X