| 21st Avenue Primary Care Pa | |
|
534 21st Ave Paterson NJ 07513-1337 | |
| (973) 925-5400 | |
| (973) 925-5403 |
| Full Name | 21st Avenue Primary Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 534 21st Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Hector Jacob Leon-wong (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9739255400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Avenue Primary Care Pa 534 21st Ave Paterson Paterson NJ 07513-1337 Ph: (973) 925-5400 | 21st Avenue Primary Care Pa 534 21st Ave Paterson NJ 07513-1337 Ph: (973) 925-5400 |
| NPI Number | 1609163716 |
|---|---|
| Provider Enumeration Date | 07/09/2011 |
| Last Update Date | 07/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609163716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05907400 (New Jersey) | Primary |
Challenge Program Of New Jersey Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Market St, Suite 200, Paterson, NJ 07505 Phone: 973-345-9100 Fax: 973-345-9110 | |
Community Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Straight St Ste 2c, Paterson, NJ 07503 Phone: 862-657-5500 Fax: 862-657-5501 | |
Omar T Cockey Dmd Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-779-6183 Fax: 973-779-6183 | |
Family Care Of New Jersey Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 | |
Vance Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Paterson Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Clinton St, Paterson, NJ 07522 Phone: 973-790-6594 Fax: 973-790-7703 | |
Fidelis Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 |