CLIFTON WALLINGTON MEDICAL GROPU NPI 1124103973

NPI Information

CLIFTON WALLINGTON MEDICAL GROPU is a specialist in Clifton, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLIFTON WALLINGTON MEDICAL GROPU NPI is 1124103973. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1033 CLIFTON AVE
SUITE 210
CLIFTON, NJ
ZIP 07013-517
Phone: (973) 473-4624
Fax: (973) 476-4547

The provider's authorized official is Amy Devirgilio .
The authorized official title is Billing Mananger and has the following contact phone number (973) 473-4624.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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