Medical & Surgical Family Practice of Passaic P A
Medical & Surgical Family Practice of Passaic P A is a Surgery Physician in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
121 Prospect StPassaic, NJ 07055-4926
Phone: (973) 777-3006
Fax: (973) 777-5587
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 25MA04703100 (NJ) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 25MA04703100 (NJ) |
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 25MA04703100 (NJ) |
Record details
| NPI number | 1457482614 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlos Tello — Medical Director · (973) 777-3006 |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | March 6, 2017 |
| Mailing address | Po Box 2007, Paterson, NJ 07509-2007 |
Other providers in Passaic
-
Endosurgical MD PA
335 Passaic St, Passaic, NJ 07055-5818 · (973) 779-5554
-
Dr. Benjamin Kashan, MD
350 Blvd, Passaic, NJ 07055-2840 · (973) 877-5080
-
Motria O Ukrainskyj, MD
350 Blvd, Passaic, NJ 07055-2840 · (973) 365-4800