MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A
Organization (NPI-2)
Active
General Practice
Provider Information
- NPI Number
1457482614- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 121 PROSPECT ST, PASSAIC, NJ, 070554926
- Phone
- (973) 777-3006
- Fax
- (973) 777-5587
Specialties & Taxonomies
Surgery
License: NJ #25MA04703100
Unknown
License: NJ #25MA04703100
General Practice
Primary License: NJ #25MA04703100