NPI 1023649712
Blue Star Lotus LLC
Practice location
- Address
- 120 Elmora Ave, Elizabeth, NJ 07202-1625
- Phone
- (973) 777-0000
- Fax
- (973) 370-4040
- Mailing address
- 110 Squire Hill Rd, Montclair, NJ 07043-2516
Authorised official
- Name
- Hr Manager
- Title
- Owner/Ceo
- Phone
- (973) 777-0000
Registered specialties (3)
Urgent Care Clinic/Center
Primary
Family Medicine Physician
Internal Medicine Physician
Registry record
- NPI
- 1023649712
- Entity type
- Organization
- NPI issued
- 31 Jan 2020
- Record last updated
- 29 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.