| Hillside Family Practice Pc | |
|
100 Hollywood Ave Hillside Family Practice Hillside NJ 07205-2409 | |
| (908) 353-7949 | |
| (908) 353-8374 |
| Full Name | Hillside Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Hollywood Ave, Hillside, New Jersey |
| Authorized Official Name and Position | Walter Matkiwsky (PRESIDENT) |
| Authorized Official Contact | 9083537949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Family Practice Pc 100 Hollywood Ave Hillside Family Practice Hillside NJ 07205-2409 Ph: (908) 353-7949 | Hillside Family Practice Pc 100 Hollywood Ave Hillside Family Practice Hillside NJ 07205-2409 Ph: (908) 353-7949 |
| NPI Number | 1891706842 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891706842 | NPI | - | NPPES |
| 0048071 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB02410900 (New Jersey) | Primary |