| NAME |
ZZ-NEWARK VA CLINIC |
| STATE |
NEW JERSEY |
| STREET ADDR. 1 |
20 WASHINGTON PLACE |
| CITY |
NEWARK |
| ZIP |
07102-3127 |
| OFFICIAL VA NAME |
NEWARK DTC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEWARK VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1053776385
-
- 2023-06-16 00:00:00
- STATUS: INACTIVE
- NPI: 1053776385
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
561BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1720025273
-
- CODING SYSTEM: VASTANUM
- ID: 561BY
|
