| Family Medical Specialist Pa | |
|
534 21st Ave Paterson NJ 07513-1337 | |
| (973) 653-9669 | |
| Not Available |
| Full Name | Family Medical Specialist Pa |
|---|---|
| Speciality | General Practice |
| Location | 534 21st Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Jose Lopez (MANAGER) |
| Authorized Official Contact | 9736539669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Specialist Pa 534 21st Ave Paterson NJ 07513-1337 Ph: (973) 653-9669 | Family Medical Specialist Pa 534 21st Ave Paterson NJ 07513-1337 Ph: (973) 653-9669 |
| NPI Number | 1942523105 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942523105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MA03169500 (New Jersey) | Primary |
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