| Lcn Medical Group | |
|
136 N. Washington Ave. Suite 201 Bergenfield NJ 07621 | |
| (201) 374-1171 | |
| (201) 374-1650 |
| Full Name | Lcn Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 N. Washington Ave. Suite 201, Bergenfield, New Jersey |
| Authorized Official Name and Position | Cristina Sario (EXECUTIVE) |
| Authorized Official Contact | 2013741171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcn Medical Group 136 N. Washington Ave. Suite 201 Bergenfield NJ 07621 Ph: (201) 374-1171 | Lcn Medical Group 136 N. Washington Ave. Suite 201 Bergenfield NJ 07621 Ph: (201) 374-1171 |
| NPI Number | 1538608450 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538608450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06244100 (New Jersey) | Primary |
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