EVERNORTH CARE PROVIDERS - NEW JERSEY PC is a general practice in Totowa, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee EVERNORTH CARE PROVIDERS - NEW JERSEY PC NPI is 1174874200. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
999 RIVERVIEW DR FL 2
TOTOWA, NJ
ZIP 07512-164
Phone: (773) 292-4800
Fax: (312) 564-4059
The provider's authorized official is Grace V Blue .
The authorized official title is Credentialing Sr. Manager and has the following contact phone number (773) 292-4800.
The CLIA number assigned to this NPI record is 31D2164200 - other - in-home primary care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/28/2012 and was last updated on 1/16/2024.