| Fidelis Medical Group Llc | |
|
1042 Main St Paterson NJ 07503-2212 | |
| (973) 510-2444 | |
| (973) 278-2818 |
| Full Name | Fidelis Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1042 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Aijuan Wang (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7322216870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidelis Medical Group Llc 101 Crawfords Corner Rd Ste 1014r Holmdel NJ 07733-1976 Ph: (605) 915-3202 | Fidelis Medical Group Llc 1042 Main St Paterson NJ 07503-2212 Ph: (973) 510-2444 |
| NPI Number | 1093409310 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093409310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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