31D2162465 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

CLIA Number: 31D2162465

Facility Name: OPTUM MEDICAL CARE OF NJ PC

Facility Address:
10 FIRST STREET
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: (201) 991-8565

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1316418312

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	31D2162465
LAB Type	PHYSICIAN OFFICE
Facility Name	OPTUM MEDICAL CARE OF NJ PC
Street	10 FIRST STREET
City	HACKENSACK
State	NJ
ZIP	07601
Phone	(201) 991-8565

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This page was last updated on: 5/11/2023