| Phoenix Physicians Llc | |
|
705 Broadway Paterson NJ 07514-1425 | |
| (814) 659-3133 | |
| Not Available |
| Full Name | Phoenix Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 705 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Ahmad H Khan (PRESIDENT) |
| Authorized Official Contact | 8146593133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Physicians Llc Po Box 438 Hillsdale NJ 07642-0438 Ph: (814) 659-3133 | Phoenix Physicians Llc 705 Broadway Paterson NJ 07514-1425 Ph: (814) 659-3133 |
| NPI Number | 1154631182 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154631182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08804200 (New Jersey) | Primary |
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