Basic Information
| Provider Information | |||||||||
| NPI: | 1437573243 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JERSEY CITY MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 128 SAINT PAULS AVE | ||||||||
| Address2: | APT 5 | ||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073062625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019937544 | ||||||||
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| Practice Location | |||||||||
| Address1: | 355 GRAND ST | ||||||||
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| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073024321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019152000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2014 | ||||||||
| LastUpdateDate: | 02/13/2014 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | RONAK | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHARMACIST | ||||||||
| AuthorizedOfficialTelephone: | 2019152060 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336I0012X | 28RI03533000 | NJ | Y | Suppliers | Pharmacy | Institutional Pharmacy |
No ID Information.