| Wien Medical Group Llc | |
|
625 Broadway Paterson NJ 07514-1977 | |
| (973) 742-2228 | |
| (201) 265-7078 |
| Full Name | Wien Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Frederic E Wien (OWNER) |
| Authorized Official Contact | 2012657001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wien Medical Group Llc 625 Broadway Paterson NJ 07514-1977 Ph: (973) 742-2228 | Wien Medical Group Llc 625 Broadway Paterson NJ 07514-1977 Ph: (973) 742-2228 |
| NPI Number | 1417145012 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 0648307850 |
|---|---|
| Medicare Enrollment ID | O20100420000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417145012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Frederic Wien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639141054 PECOS PAC ID: 5496728685 Enrollment ID: I20040816001397 |
Challenge Program Of New Jersey Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Market St, Suite 200, Paterson, NJ 07505 Phone: 973-345-9100 Fax: 973-345-9110 | |
Community Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Straight St Ste 2c, Paterson, NJ 07503 Phone: 862-657-5500 Fax: 862-657-5501 | |
Omar T Cockey Dmd Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-779-6183 Fax: 973-779-6183 | |
Family Care Of New Jersey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 | |
Vance Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Paterson Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Clinton St, Paterson, NJ 07522 Phone: 973-790-6594 Fax: 973-790-7703 | |
Fidelis Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 |