21ST AVENUE PRIMARY CARE PA
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1609163716- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 534 21ST AVE, PATERSON, NJ, 075131337
- Phone
- (973) 925-5400
- Fax
- (973) 925-5403
Specialties & Taxonomies
Family Medicine
Primary License: NJ #25MA05907400