Suburban Family Medicine Llc | |
1031 Mcbride Ave Suite D 210 Woodland Park NJ 07424-2559 | |
(973) 812-9091 | |
(973) 339-9040 |
Full Name | Suburban Family Medicine Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1031 Mcbride Ave, Woodland Park, New Jersey |
Authorized Official Name and Position | Susan Rae (PRESIDENT) |
Authorized Official Contact | 9738129091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suburban Family Medicine Llc 40 Michelle Way Pine Brook NJ 07058-9446 Ph: (973) 812-9091 | Suburban Family Medicine Llc 1031 Mcbride Ave Suite D 210 Woodland Park NJ 07424-2559 Ph: (973) 812-9091 |
NPI Number | 1982035093 |
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Provider Enumeration Date | 11/29/2013 |
Last Update Date | 11/29/2013 |
Identifier | Type | State | Issuer |
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1982035093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 25MA06609700 (New Jersey) | Primary |
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