NPI 1376674572

Medical Surgical Family Practice of Paterson

Organisation General Practice Physician Paterson, NJ

Practice location

Address: 998 Madison Ave, Paterson, NJ 07501-3737
Phone: (973) 345-7113
Fax: (973) 278-5395
Mailing address: PO Box 1859, Paterson, NJ 07509-1859

Authorised official

Name: Carlos Tello
Title: Medical Irector
Phone: (973) 345-7113

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 25MA04703100 (NJ)

Other General Practice providers in New Jersey →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25MA04703100 (NJ)

Other Surgery providers in New Jersey →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 25MA04703100 (NJ)

Registry record

NPI: 1376674572
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 12 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.