Family Care Of New Jersey | |
1042 Main St Paterson NJ 07503-2212 | |
(973) 510-2444 | |
(973) 278-2818 |
Full Name | Family Care Of New Jersey |
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Speciality | Family Medicine |
Location | 1042 Main St, Paterson, New Jersey |
Authorized Official Name and Position | Mannan Razzak (PRESIDENT) |
Authorized Official Contact | 9735102444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Of New Jersey 1042 Main St Paterson NJ 07503-2212 Ph: (973) 510-2444 | Family Care Of New Jersey 1042 Main St Paterson NJ 07503-2212 Ph: (973) 510-2444 |
NPI Number | 1043602303 |
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Provider Enumeration Date | 02/24/2015 |
Last Update Date | 02/24/2015 |
Medicare PECOS PAC ID | 6800191370 |
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Medicare Enrollment ID | O20160222000051 |
Identifier | Type | State | Issuer |
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1043602303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB07428300 (New Jersey) | Primary |
Provider Name | Neveen Elkholy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346245560 PECOS PAC ID: 4789645193 Enrollment ID: I20041020000025 |
Provider Name | Samir Khalil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396087987 PECOS PAC ID: 5799090833 Enrollment ID: I20160511001132 |
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