NPI 1881772028

Candlelighting Medical LLC

Organisation Legal Medicine East Orange, NJ

Practice location

Address: 404 Central Ave Suite:1, East Orange, NJ 07018-2529
Phone: (973) 414-8865
Fax: (973) 672-2608
Mailing address: 404 Central Avenue Suite:1, East Orange, NJ 07017

Authorised official

Name: Jackie Kinney
Title: Director of Candlelight
Phone: (973) 414-8865

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 25MA06081600 (NJ)

Other Legal Medicine providers in New Jersey →

Registry record

NPI: 1881772028
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 12 Sep 2007

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.