31D2268927 CLIA NUMBER - HMHMG PRIMARY CARE

Laboratory Demographics

CLIA Number: 31D2268927

Facility Name: HMHMG PRIMARY CARE

Facility Address:
22 PARIS AVE SUITE 109
ROCKLEIGH, NJ
ZIP 07647
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Facility Phone Number: 201 564-7377

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588816532

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	31D2268927
LAB Type	Physician Office
Facility Name	HMHMG PRIMARY CARE
Street	22 PARIS AVE SUITE 109
City	ROCKLEIGH
State	NJ
ZIP	07647
Phone	201 564-7377
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024