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

Montclair Urological Group

Organization Specialist · NPI 1104955798

Montclair Urological Group is a Specialist in Glen Ridge, 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

777 Bloomfield Ave
Glen Ridge, NJ 07028-2325
Phone: (973) 746-3322
Fax: (973) 429-8765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA26559 (NJ)

Record details

NPI number1104955798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Boorjian — President · (973) 746-3322
NPI enumeratedMarch 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address777 Bloomfield Ave, Glen Ridge, NJ 07028-2325

Other providers in Glen Ridge