NPI 1104227990

St. Michaels Medical Center

Organisation Chronic Disease Hospital Millburn, NJ

Practice location

Address: 927 Ridgewood Rd, Millburn, NJ 07041-1441
Phone: (732) 259-8446

Authorised official

Name: Jason Shayne Dazley
Title: Internal Medicine Physician
Phone: (732) 259-8446

Registered specialties

Chronic Disease Hospital Primary

Hospitals Taxonomy 281P00000X Licence 25MA09562500 (NJ)

Other Chronic Disease Hospital providers in New Jersey →

Registry record

NPI: 1104227990
Entity type: Organization
NPI issued: 11 Sep 2014
Record last updated: 11 Sep 2014

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.