| Closter Medical Group, Pa | |
|
200 Closter Dock Rd Closter NJ 07624-1928 | |
| (201) 768-3900 | |
| (201) 768-3840 |
| Full Name | Closter Medical Group, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 Closter Dock Rd, Closter, New Jersey |
| Authorized Official Name and Position | Valure Churchill (OFFICE MANAGER) |
| Authorized Official Contact | 2017683900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Closter Medical Group, Pa 200 Closter Dock Rd Closter NJ 07624-1928 Ph: (201) 768-3900 | Closter Medical Group, Pa 200 Closter Dock Rd Closter NJ 07624-1928 Ph: (201) 768-3900 |
| NPI Number | 1063634459 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063634459 | NPI | - | NPPES |
| 7261403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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