Hoboken Family Practice, Pc | |
108 Washington St Hoboken NJ 07030-4659 | |
(201) 656-5688 | |
(201) 656-8975 |
Full Name | Hoboken Family Practice, Pc |
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Speciality | Family Medicine |
Location | 108 Washington St, Hoboken, New Jersey |
Authorized Official Name and Position | Angelo Albert Demarco (PARTNER) |
Authorized Official Contact | 2016565688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hoboken Family Practice, Pc 108 Washington St Hoboken NJ 07030-4659 Ph: (201) 656-5688 | Hoboken Family Practice, Pc 108 Washington St Hoboken NJ 07030-4659 Ph: (201) 656-5688 |
NPI Number | 1598703142 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 10/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598703142 | NPI | - | NPPES |
3179401 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA4143300 (New Jersey) | Primary |
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