NPI 1396144911

Sachoy Fowler

Organisation Health Maintenance Organization Jersey City, NJ

Practice location

Address: 159 Cambridge Ave 2nd Floor, Jersey City, NJ 07307-2027
Phone: (256) 289-5972

Authorised official

Name: Sachoy Fowler
Title: Pharmacist
Phone: (256) 289-5972

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 28RI03562400 (NJ)

Other Health Maintenance Organization providers in New Jersey →

Registry record

NPI: 1396144911
Entity type: Organization
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 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.