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NPI Code Detail

MEDICARE: URBAN MEDICAL CENTER

MEDICARE: URBAN MEDICAL CENTER
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
1363LF0000XFamily Nurse Practitioner26NJ00418900NJ

General Provider Information

NPI Number : 1871833970
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN MEDICAL CENTER
Provider Business Mailing Address
First Line : 95 MARTIN LUTHER KING JR DR
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-3025
Country : US
Telephone Number : 201-332-7077
Fax Number : 201-332-7003
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 : 201-332-7077
Fax Number : 201-332-7003
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. HYACINTH UCHEAGWU
Credential : MD
Telephone Number : 201-332-7077
Provider Enumeration Date : 02/26/2013
Last Update Date : 02/26/2013

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Directions to “URBAN MEDICAL CENTER ” Practice Location

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