| Primary Medical Care Professional | |
|
85 S Jefferson St Ste. 3 Orange NJ 07050-1562 | |
| (973) 673-9229 | |
| (973) 673-0018 |
| Full Name | Primary Medical Care Professional |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 85 S Jefferson St, Orange, New Jersey |
| Authorized Official Name and Position | Joseph Salese (PRESIDENT) |
| Authorized Official Contact | 9736739229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Care Professional 85 S Jefferson St Ste.1 Orange NJ 07050-1562 Ph: (973) 677-3466 | Primary Medical Care Professional 85 S Jefferson St Ste. 3 Orange NJ 07050-1562 Ph: (973) 673-9229 |
| NPI Number | 1588687479 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588687479 | NPI | - | NPPES |
| CJ6915 | Other | RAILROAD MEDICARE | |
| 6874509 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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