Healthcare Provider Details

I. General information

NPI: 1740537463
Provider Name (Legal Business Name): NEIGHBORHOOD MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 08/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CENTRAL AVE SUITE 100
EAST ORANGE NJ
07018-2835
US

IV. Provider business mailing address

310 CENTRAL AVE SUITE 100
EAST ORANGE NJ
07018-2835
US

V. Phone/Fax

Practice location:
  • Phone: 973-674-2242
  • Fax:
Mailing address:
  • Phone: 973-674-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA08699400
License Number StateNJ

VIII. Authorized Official

Name: DR. AMIT KUMAR SETH
Title or Position: OWNER
Credential: M.D.
Phone: 973-634-1039