| Valley Center For Family Medicine Pc | |
|
14 Violet Trl Lafayette NJ 07848-2203 | |
| (973) 940-0512 | |
| Not Available |
| Full Name | Valley Center For Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14 Violet Trl, Lafayette, New Jersey |
| Authorized Official Name and Position | Susanne Muccino (OFFICE MGR) |
| Authorized Official Contact | 9739400512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Center For Family Medicine Pc 14 Violet Trl Lafayette NJ 07848-2203 Ph: () - | Valley Center For Family Medicine Pc 14 Violet Trl Lafayette NJ 07848-2203 Ph: (973) 940-0512 |
| NPI Number | 1619020518 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 11/29/2011 |
| Medicare PECOS PAC ID | 5294821047 |
|---|---|
| Medicare Enrollment ID | O20071010000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619020518 | NPI | - | NPPES |
| 1163604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA035277 (New Jersey) | Primary |
| Provider Name | Gary P Muccino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285727529 PECOS PAC ID: 0244326031 Enrollment ID: I20071009000729 |
Takacs Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 State Route 15, Lafayette, NJ 07848 Phone: 973-383-5052 |