Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Orange Medical Practice

Organization Internal Medicine Physician · NPI 1114116175

East Orange Medical Practice is an Internal Medicine Physician in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

108 S Munn Ave
East Orange, NJ 07018-3402
Phone: (973) 674-8100
Fax: (973) 674-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA08005400 (NJ)

Record details

NPI number1114116175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Clarke — Director · (973) 674-8100
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 16, 2007
Mailing address108 S Munn Ave, East Orange, NJ 07018-3402

Other providers in East Orange