| NAME |
JERSEY CITY, NJ CBOC |
| STATE |
NEW JERSEY |
| STREET ADDR. 1 |
115 CHRISTOPHER COLUMBUS DRIVE |
| CITY |
JERSEY CITY |
| ZIP |
07302-5526 |
| OFFICIAL VA NAME |
JERSEY CITY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
JERSEY CITY VA CLINIC |
| ST. ADDR. 1 (MAILING) |
115 CHRISTOPHER COLUMBUS DRIVE |
| CITY (MAILING) |
JERSEY CITY |
| STATE (MAILING) |
NEW JERSEY |
| ZIP (MAILING) |
07302-5526 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1457307829
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
561GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1457307829
-
- CODING SYSTEM: VASTANUM
- ID: 561GE
|
