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NPI Code Detail

MEDICARE: URBAN MEDICAL CENTER, INC.

MEDICARE: URBAN MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22DI01783400NJ
2208000000XPediatrics Physician25MA08302800NJ

General Provider Information

NPI Number : 1205074960
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 129 JEWETT AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-2003
Country : US
Telephone Number : 201-469-6659
Fax Number :
Provider Business Practice Location Address
First Line : 95 MARTIN LUTHER KING JR DR
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-3025
Country : US
Telephone Number : 201-469-6659
Fax Number : 201-332-7003
Authorized Official
Title or Position : PRESIDENT
Name : DR. HYACINTH EMENIKE UCHEAGWU
Credential : MD
Telephone Number : 201-469-6659
Provider Enumeration Date : 02/03/2009
Last Update Date : 01/22/2013

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Directions to “URBAN MEDICAL CENTER, INC. ” Practice Location

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