| Chestnuthill Physicians Group | |
|
338 Chestnut St Passaic NJ 07055-3158 | |
| (973) 471-9494 | |
| (973) 778-4649 |
| Full Name | Chestnuthill Physicians Group |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 338 Chestnut St, Passaic, New Jersey |
| Authorized Official Name and Position | Paul Demuro (PARTNER) |
| Authorized Official Contact | 9734719494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnuthill Physicians Group 338 Chestnut St Passaic NJ 07055-3158 Ph: (973) 471-9494 | Chestnuthill Physicians Group 338 Chestnut St Passaic NJ 07055-3158 Ph: (973) 471-9494 |
| NPI Number | 1043408966 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043408966 | NPI | - | NPPES |
| CH469414 | Other | NJ | MEDICARE GROUP NUMBER |
| 2680505 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MB037972 (New Jersey) | Primary |
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