MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON NPI 1376674572

NPI Information

MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON is a general practice in Paterson, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON NPI is 1376674572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

998 MADISON AVE
PATERSON, NJ
ZIP 07501-737
Phone: (973) 345-7113
Fax: (973) 278-5395

The provider's authorized official is Carlos Tello .
The authorized official title is Medical Irector and has the following contact phone number (973) 345-7113.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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