| Fields Premium Care Plus Llc | |
|
45 Bedford St East Orange NJ 07018-1841 | |
| (973) 874-3169 | |
| Not Available |
| Full Name | Fields Premium Care Plus Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45 Bedford St, East Orange, New Jersey |
| Authorized Official Name and Position | Tasia C Fields (OWNER) |
| Authorized Official Contact | 9738743169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fields Premium Care Plus Llc 45 Bedford St East Orange NJ 07018-1841 Ph: (973) 874-3169 | Fields Premium Care Plus Llc 45 Bedford St East Orange NJ 07018-1841 Ph: (973) 874-3169 |
| NPI Number | 1598236499 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598236499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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