| Primary Care Medicine, Llc | |
|
20-19 Fair Lawn Ave Fair Lawn NJ 07410-2320 | |
| (201) 797-2003 | |
| (201) 797-7003 |
| Full Name | Primary Care Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20-19 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Basel Batarseh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2017972003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medicine, Llc Po Box 36255 Newark NJ 07188-0001 Ph: (201) 797-2003 | Primary Care Medicine, Llc 20-19 Fair Lawn Ave Fair Lawn NJ 07410-2320 Ph: (201) 797-2003 |
| NPI Number | 1063602696 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063602696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA061626 (New Jersey) | Primary |
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