| Second Street Medical Associates | |
|
386 2nd St Hackensack NJ 07601-2731 | |
| (201) 342-1877 | |
| (201) 342-1879 |
| Full Name | Second Street Medical Associates |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 386 2nd St, Hackensack, New Jersey |
| Authorized Official Name and Position | Philip G Woodham (OWNER) |
| Authorized Official Contact | 2013421877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Street Medical Associates 386 2nd St Hackensack NJ 07601-2731 Ph: (201) 342-1877 | Second Street Medical Associates 386 2nd St Hackensack NJ 07601-2731 Ph: (201) 342-1877 |
| NPI Number | 1679522775 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679522775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA67550 (New Jersey) | Primary |
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