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Paladina Medical Group Of New Jersey PC

Family Medicine in Clifton, NJ. Organization (NPI-2).

NPI number1669995692
StatusActive
Last updated in NPPESJul 21, 2017

Details

NPI
1669995692
Entity type
Organization (NPI-2)
Legal business name
Paladina Medical Group Of New Jersey PC
Organization subpart
No
Enumeration date
Jul 21, 2017
Last updated
Jul 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

4 Brighton Rd Ste 208
Clifton, NJ 07012-1665

Phone 920-210-3725

Mailing address

1551 Wewatta St
Denver, CO 80202-6173

Authorized official

Nathan Miller
Implementation Manager
9202103725

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