| Alpha Care Pediatrics, Llc | |
|
124 Gregory Ave Suite 201 Passaic NJ 07055-4856 | |
| (973) 471-4440 | |
| Not Available |
| Full Name | Alpha Care Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 124 Gregory Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Ifeoma Iwelumo (MD) |
| Authorized Official Contact | 9734714440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Care Pediatrics, Llc 124 Gregory Ave Suite 201 Passaic NJ 07055-4856 Ph: (973) 471-4440 | Alpha Care Pediatrics, Llc 124 Gregory Ave Suite 201 Passaic NJ 07055-4856 Ph: (973) 471-4440 |
| NPI Number | 1275949158 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275949158 | NPI | - | NPPES |
| 6090303 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0400671095 (New Jersey) | Primary |
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