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ESSEX WOMENS HEALTH CENTER PA NPI 1447380134


NPI Information

NPI: 1447380134
Provider Name: ESSEX WOMENS HEALTH CENTER, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 31D0894717

Address:
33 N FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 744-2922
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ESSEX WOMENS HEALTH CENTER, PA is an obstetrics gynecology in Montclair, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ESSEX WOMENS HEALTH CENTER, PA NPI is 1447380134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 N FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042-412
Phone: (973) 744-2922

The provider's authorized official is Gary Degrande .
The authorized official title is President and has the following contact phone number (201) 744-2922.

The CLIA number assigned to this NPI record is 31D0894717 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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