| Passaic County | |
|
606 Broadway Paterson NJ 07514-1916 | |
| (973) 248-8818 | |
| Not Available |
| Full Name | Passaic County |
|---|---|
| Speciality | Radiology - Diagnostic Radiology |
| Location | 606 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Jose R Sanchez Pena (OWNER) |
| Authorized Official Contact | 9732788818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passaic County 606 Broadway Paterson NJ 07514-1916 Ph: (973) 248-8818 | Passaic County 606 Broadway Paterson NJ 07514-1916 Ph: (973) 248-8818 |
| NPI Number | 1417048471 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417048471 | NPI | - | NPPES |
| 6846505 | Medicaid | NJ |
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