| Doctor's Medical Clinic Pa | |
|
119 Ocean Ave Jersey City NJ 07305-2500 | |
| (201) 200-2626 | |
| Not Available |
| Full Name | Doctor's Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Ocean Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Fidel Losa Lim (OWNER) |
| Authorized Official Contact | 2012002626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Medical Clinic Pa 119 Ocean Ave Jersey City NJ 07305-2500 Ph: (201) 200-2626 | Doctor's Medical Clinic Pa 119 Ocean Ave Jersey City NJ 07305-2500 Ph: (201) 200-2626 |
| NPI Number | 1528108560 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528108560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04954300 (New Jersey) | Primary |
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