| 100 Main Medical Associates | |
|
100 Main St Paterson NJ 07505-1024 | |
| (973) 523-0317 | |
| (973) 684-8590 |
| Full Name | 100 Main Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Lowell Taclob (PRESIDENT) |
| Authorized Official Contact | 9735230317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Main Medical Associates 100 Main St Paterson NJ 07505-1024 Ph: (973) 523-0317 | 100 Main Medical Associates 100 Main St Paterson NJ 07505-1024 Ph: (973) 523-0317 |
| NPI Number | 1619378239 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619378239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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