Medical Surgical Family Practice Of Paterson
LBN: Medical Surgical Family Practice Of Paterson
Medical Surgical Family Practice Of Paterson is an health care organization with primary practice located at 998 Madison Ave , Paterson NJ 07501-3737. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Medical Surgical Family Practice Of Paterson can be contacted via phone (973) 345-7113, or through Tello, Carlos via phone (973) 345-7113.
Contact Information
Primary practice address
998 Madison Ave
Paterson NJ 07501-3737
Phone: (973) 345-7113
Fax: (973) 278-5395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04703100 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA04703100 | New Jersey |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA04703100 | New Jersey |
Profile Details
| NPI number | 1376674572 |
|---|---|
| LBN Legal business name | Medical Surgical Family Practice Of Paterson |
| DBA Doing business as | |
| Authorized official | Tello, Carlos Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 12th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376674572 | NPPES |
| New Jersey | MEDICAID | 6688900 |
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