| Pichardo Health Group P C | |
|
80 Passaic Ave Suite 1 Passaic NJ 07055-4860 | |
| (973) 928-2167 | |
| (973) 928-2170 |
| Full Name | Pichardo Health Group P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Passaic Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Nelson R. Pichardo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9739282167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pichardo Health Group P C 80 Passaic Ave Suite 1 Passaic NJ 07055-4860 Ph: (973) 928-2167 | Pichardo Health Group P C 80 Passaic Ave Suite 1 Passaic NJ 07055-4860 Ph: (973) 928-2167 |
| NPI Number | 1063742765 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063742765 | NPI | - | NPPES |
| 0066885 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03887500 (New Jersey) | Primary |
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