| Hudson Primary Care Professionals | |
|
709 Newark Ave Jersey City NJ 07306-2803 | |
| (718) 743-7090 | |
| Not Available |
| Full Name | Hudson Primary Care Professionals |
|---|---|
| Speciality | Family Medicine |
| Location | 709 Newark Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | John Fritz (PRESIDENT) |
| Authorized Official Contact | 7187437090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Primary Care Professionals 72 Van Reipen Ave Po Box 234 Jersey City NJ 07306-2806 Ph: (718) 743-7090 | Hudson Primary Care Professionals 709 Newark Ave Jersey City NJ 07306-2803 Ph: (718) 743-7090 |
| NPI Number | 1952606923 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 6507844578 |
|---|---|
| Medicare Enrollment ID | O20040708000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952606923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB065822 (New Jersey) | Primary |
| Provider Name | John A Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316032394 PECOS PAC ID: 4587642558 Enrollment ID: I20040708000196 |
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