NPI 1578852935

Associates Medical Corporation

Organisation Preferred Provider Organization Passaic, NJ

Practice location

Address: 293 Passaic St, Passaic, NJ 07055-5803
Phone: (973) 365-1377
Mailing address: PO Box 30, Hawthorne, NJ 07507-0030

Authorised official

Name: William Castilla
Title: Owner
Phone: (973) 365-1377

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA02465100 (NJ)

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Registry record

NPI: 1578852935
Entity type: Organization
NPI issued: 6 Apr 2011
Record last updated: 22 Apr 2014

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.