| Clinton Avenue Community Care Center Pc | |
|
1577 Route 517 Hackettstown NJ 07840-2708 | |
| (973) 672-8573 | |
| Not Available |
| Full Name | Clinton Avenue Community Care Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1577 Route 517, Hackettstown, New Jersey |
| Authorized Official Name and Position | Luz Capcha (CHIEF REVENUE OFFICER & VBC) |
| Authorized Official Contact | 9736722455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Avenue Community Care Center Pc 613 Park Ave East Orange NJ 07017-1905 Ph: (973) 672-2455 | Clinton Avenue Community Care Center Pc 1577 Route 517 Hackettstown NJ 07840-2708 Ph: (973) 672-8573 |
| NPI Number | 1437945946 |
|---|---|
| Provider Enumeration Date | 04/19/2025 |
| Last Update Date | 04/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437945946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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