Plaza Family Care Pc | |
657 Willow Grove St Suite 401 Hackettstown NJ 07840-1713 | |
(908) 850-7800 | |
(908) 850-7803 |
Full Name | Plaza Family Care Pc |
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Speciality | Internal Medicine |
Location | 657 Willow Grove St, Hackettstown, New Jersey |
Authorized Official Name and Position | Joseph Nocilla (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9088507816 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Plaza Family Care Pc 657 Willow Grove St Suite 401 Hackettstown NJ 07840-1713 Ph: (908) 850-7800 | Plaza Family Care Pc 657 Willow Grove St Suite 401 Hackettstown NJ 07840-1713 Ph: (908) 850-7800 |
NPI Number | 1538231964 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 09/24/2007 |
Medicare PECOS PAC ID | 5496848558 |
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Medicare Enrollment ID | O20070905000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538231964 | NPI | - | NPPES |
Provider Name | Unnati Tailor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912920158 PECOS PAC ID: 9739100900 Enrollment ID: I20060107000002 |
Provider Name | Jimmy C Chang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629082300 PECOS PAC ID: 5799870044 Enrollment ID: I20120425000261 |
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