NPI 1275240954

Prospero Medical Services New Jersey PC

Organisation General Practice Physician Newark, NJ

Practice location

Address: 1 Gateway Ctr STE 2600, Newark, NJ 07102-5323
Phone: (657) 400-5180
Mailing address: 7755 Center Ave STE 630, Huntington Beach, CA 92647-9152

Authorised official

Name: Christopher Dennis
Title: President of Medical Group
Phone: (657) 237-2450

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1275240954
Entity type: Organization
NPI issued: 1 Nov 2022
Record last updated: 30 Jan 2024

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.