Primary Care Medicine Llc | |
20-19 Fair Lawn Ave Fair Lawn NJ 07140 | |
(201) 797-2003 | |
Not Available |
Full Name | Primary Care Medicine Llc |
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Speciality | Internal Medicine |
Location | 20-19 Fair Lawn Ave, Fair Lawn, New Jersey |
Authorized Official Name and Position | Basel Batarseh (PRESIDENT) |
Authorized Official Contact | 2017972003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care Medicine Llc Po Box 14008a Newark NJ 07198-0001 Ph: (201) 797-2003 | Primary Care Medicine Llc 20-19 Fair Lawn Ave Fair Lawn NJ 07140 Ph: (201) 797-2003 |
NPI Number | 1033221742 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033221742 | NPI | - | NPPES |
2686763 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (New Jersey) | Primary |
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