Medical Centers Of Northern New Jersey, Llc | |
195 S Maple Ave Ridgewood NJ 07450-5142 | |
(973) 953-8105 | |
(770) 643-2011 |
Full Name | Medical Centers Of Northern New Jersey, Llc |
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Speciality | General Practice |
Location | 195 S Maple Ave, Ridgewood, New Jersey |
Authorized Official Name and Position | Dana Piccirillo (CEO) |
Authorized Official Contact | 6788493782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medical Centers Of Northern New Jersey, Llc 195 S Maple Ave Ridgewood NJ 07450-5142 Ph: (973) 953-8105 | Medical Centers Of Northern New Jersey, Llc 195 S Maple Ave Ridgewood NJ 07450-5142 Ph: (973) 953-8105 |
NPI Number | 1083910616 |
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Provider Enumeration Date | 01/29/2011 |
Last Update Date | 01/29/2011 |
Identifier | Type | State | Issuer |
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1083910616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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