| Wcg Nj Llc | |
|
290 Lafayette Ave Hawthorne NJ 07506-1961 | |
| (973) 427-9200 | |
| Not Available |
| Full Name | Wcg Nj Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Sekuleo Gathers (OWNER) |
| Authorized Official Contact | 9734279200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wcg Nj Llc 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 427-9200 | Wcg Nj Llc 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 427-9200 |
| NPI Number | 1063349892 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063349892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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