| Main Med Health | |
|
100 Main St Paterson NJ 07505-1024 | |
| (551) 455-9001 | |
| Not Available |
| Full Name | Main Med Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Michelle Maria Taclob (OWNER OF ENTITY) |
| Authorized Official Contact | 5514559001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Med Health 100 Main St Paterson NJ 07505-1024 Ph: (551) 455-9001 | Main Med Health 100 Main St Paterson NJ 07505-1024 Ph: (551) 455-9001 |
| NPI Number | 1912615501 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Medicare PECOS PAC ID | 9436528577 |
|---|---|
| Medicare Enrollment ID | O20221212000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912615501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle Maria Taclob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619131398 PECOS PAC ID: 6204093016 Enrollment ID: I20221212001035 |
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