CANDLELIGHT MEDICAL NPI 1578612479

NPI Information

CANDLELIGHT MEDICAL is a medical genetics phd medical genetics in Newark, NJ. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. CANDLELIGHT MEDICAL NPI is 1578612479. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clinic.

The provider's business location address is:

195 CENTRAL AVE
NEWARK, NJ
ZIP 07103-921
Phone: (973) 353-8813
Fax: (973) 353-8815

The provider's authorized official is Jackie Kinney .
The authorized official title is Director and has the following contact phone number (973) 353-8813.

The enumeration date for this NPI number is 1/9/2007 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:

Other Identifiers

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