Family Legacy Medical Care, PA
NPI #1043704810 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1043704810
- Entity Type
- Organization
- Organization Name
- Family Legacy Medical Care, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 15, 2018
- Last Updated
- Jan 19, 2019
Practice Location
- Address
- 115 JEFFERSON AVE
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201-2417
- Phone
- (908) 351-6663
Authorized Official
- Name
- DR. PASCALE FERDINAND, MD
- Title
- PHYSICIAN
- Phone
- (908) 351-6663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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