NPI 1578612479

Candlelight Medical

Organisation Ph.D. Medical Genetics Newark, NJ

Practice location

Address: 195 Central Ave, Newark, NJ 07103-3921
Phone: (973) 353-8813
Fax: (973) 353-8815

Authorised official

Name: Jackie Kinney
Title: Director
Phone: (973) 353-8813

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 25MA02378100 (NJ)

Other Medical Genetics, Ph.D. Medical Genetics providers in New Jersey →

Registry record

NPI: 1578612479
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 22 Aug 2020

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.