Provider Demographics
NPI:1003004037
Name:NORTHWEST NEW JERSEY URGENT CARE ALLIANCE PC
Entity Type:Organization
Organization Name:NORTHWEST NEW JERSEY URGENT CARE ALLIANCE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-579-8999
Mailing Address - Street 1:175 HIGH ST
Mailing Address - Street 2:FINANCE DEPARTMENT
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1004
Mailing Address - Country:US
Mailing Address - Phone:973-579-8999
Mailing Address - Fax:973-579-8676
Practice Address - Street 1:212 ROUTE 94
Practice Address - Street 2:SUITE 1A
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3328
Practice Address - Country:US
Practice Address - Phone:973-209-2260
Practice Address - Fax:973-209-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care