| General Clinica South Pa | |
|
4801 Broadway Union City NJ 07087-6516 | |
| (201) 543-1668 | |
| Not Available |
| Full Name | General Clinica South Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 Broadway, Union City, New Jersey |
| Authorized Official Name and Position | Juan Delacruz (DIRECTOR) |
| Authorized Official Contact | 2015431668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Clinica South Pa 4801 Broadway Union City NJ 07087-6516 Ph: (201) 543-1668 | General Clinica South Pa 4801 Broadway Union City NJ 07087-6516 Ph: (201) 543-1668 |
| NPI Number | 1255512810 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255512810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA045725 (New Jersey) | Primary |
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