| East 29th St Medical Associates, P.c. | |
|
542 E 29th Street Paterson NJ 07504-1814 | |
| (201) 281-8691 | |
| Not Available |
| Full Name | East 29th St Medical Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 542 E 29th Street, Paterson, New Jersey |
| Authorized Official Name and Position | Shelly D Samuel (OWNER) |
| Authorized Official Contact | 2012818692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East 29th St Medical Associates, P.c. 716 Huntington Chase Ct Warner Robins GA 31088-2681 Ph: (201) 281-8692 | East 29th St Medical Associates, P.c. 542 E 29th Street Paterson NJ 07504-1814 Ph: (201) 281-8691 |
| NPI Number | 1740315225 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740315225 | NPI | - | NPPES |
| 8598703 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA71838 (New Jersey) | Primary |
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