| Optimum Pri-med Care Pa | |
|
293 Monroe St Passaic NJ 07055-5209 | |
| (973) 476-2528 | |
| Not Available |
| Full Name | Optimum Pri-med Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 293 Monroe St, Passaic, New Jersey |
| Authorized Official Name and Position | Hector J Leon-wong (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9734762528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Pri-med Care Pa 293 Monroe St Passaic NJ 07055-5209 Ph: (973) 476-2528 | Optimum Pri-med Care Pa 293 Monroe St Passaic NJ 07055-5209 Ph: (973) 476-2528 |
| NPI Number | 1154698975 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Medicare PECOS PAC ID | 2567639065 |
|---|---|
| Medicare Enrollment ID | O20120125000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154698975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05907400 (New Jersey) | Primary |
| Provider Name | Hector J Leon-wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457573321 PECOS PAC ID: 2961542980 Enrollment ID: I20091222000478 |
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Smgh Physician Practice Management, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-471-5531 | |
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Pichardo Health Group P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Passaic Ave, Suite 1, Passaic, NJ 07055 Phone: 973-928-2167 Fax: 973-928-2170 | |
Passaic Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 362 Monroe St, Passaic, NJ 07055 Phone: 973-777-3222 Fax: 973-777-3225 | |
Center For Adult Medicine And Preventive Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916-922 Main Ave, Suite 1a, Passaic, NJ 07055 Phone: 973-773-0334 Fax: 973-773-0336 | |
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