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NPI 1336491976 · live from the CMS NPI Registry

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General Acute Care Hospital in Montclair, NJ. National Provider Identifier 1336491976, active.

NPI record

NPI1336491976 Type 2 · organization
StatusActive
Primary specialtyGeneral Acute Care Hospital 282N00000X
Practice location51 S Park St, Suite 201, Montclair, NJ 07042
Practice phone191-761-8444
EnumeratedOctober 5, 2012
Last updatedOctober 5, 2012
Authorized officialMaged Boutros, President

Taxonomies and licenses

TaxonomyCodeLicense
Clinic/Center, Primary Care261QP2300X25ma08097300 (NJ)
General Acute Care Hospital primary282N00000X25ma08097300 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.