Wayne Primary Care, P.a. | |
508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 | |
(973) 595-0096 | |
(973) 595-6414 |
Full Name | Wayne Primary Care, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 508 Hamburg Tpke, Wayne, New Jersey |
Authorized Official Name and Position | Erhan Kucuk (PRESIDENT) |
Authorized Official Contact | 9735950096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wayne Primary Care, P.a. 508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 Ph: (973) 595-0096 | Wayne Primary Care, P.a. 508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 Ph: (973) 595-0096 |
NPI Number | 1285635177 |
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Provider Enumeration Date | 08/02/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285635177 | NPI | - | NPPES |
8143200 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (New Jersey) | Primary |
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