| Trinitas Regional Medical Center Physicians Practice Acct Roselle Park | |
|
331 Chestnut St Roselle Park NJ 07204-1948 | |
| (908) 245-9444 | |
| (908) 245-8826 |
| Full Name | Trinitas Regional Medical Center Physicians Practice Acct Roselle Park |
|---|---|
| Speciality | Family Medicine |
| Location | 331 Chestnut St, Roselle Park, New Jersey |
| Authorized Official Name and Position | Thomas J. Sampson (PRACTICE MANAGER) |
| Authorized Official Contact | 9082980579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinitas Regional Medical Center Physicians Practice Acct Roselle Park 331 Chestnut St Roselle Park NJ 07204-1948 Ph: (908) 245-9444 | Trinitas Regional Medical Center Physicians Practice Acct Roselle Park 331 Chestnut St Roselle Park NJ 07204-1948 Ph: (908) 245-9444 |
| NPI Number | 1104101740 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104101740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB02229300 (New Jersey) | Primary |
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Njucare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Chestnut St Ste 201, Roselle Park, NJ 07204 Phone: 973-210-4000 | |
Nj Comprehensive Health Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 E Westfield Ave Ste 203, Roselle Park, NJ 07204 Phone: 813-481-9467 Fax: 813-699-8303 |