| Patient Centered Medical Associates, Pa | |
|
54 Plymouth St Montclair NJ 07042-2137 | |
| (973) 746-3400 | |
| (973) 746-6214 |
| Full Name | Patient Centered Medical Associates, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 54 Plymouth St, Montclair, New Jersey |
| Authorized Official Name and Position | Howard M Wilson (PHYSICIAN OWNER) |
| Authorized Official Contact | 9737463400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Centered Medical Associates, Pa 54 Plymouth St Montclair NJ 07042-2137 Ph: (973) 746-3400 | Patient Centered Medical Associates, Pa 54 Plymouth St Montclair NJ 07042-2137 Ph: (973) 746-3400 |
| NPI Number | 1639479009 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639479009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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