| Great Falls Medical Care Pc | |
|
289 Union Ave Paterson NJ 07502-1930 | |
| (718) 930-5008 | |
| Not Available |
| Full Name | Great Falls Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 289 Union Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Mohammed A Siddique (PRESIDENT) |
| Authorized Official Contact | 7189305008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Falls Medical Care Pc 289 Union Ave Paterson NJ 07502-1930 Ph: (718) 930-5008 | Great Falls Medical Care Pc 289 Union Ave Paterson NJ 07502-1930 Ph: (718) 930-5008 |
| NPI Number | 1568126597 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 01/18/2022 |
| Medicare PECOS PAC ID | 1456743715 |
|---|---|
| Medicare Enrollment ID | O20220118001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568126597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammed Siddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871699470 PECOS PAC ID: 7618918707 Enrollment ID: I20220118001257 |
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