Concentra Primary Care of New Jersey PA

NPI #1073892279 in Addison, Texas

Provider Information

NPI Number: 1073892279
Entity Type: Organization
Organization Name: Concentra Primary Care of New Jersey PA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 5, 2011
Last Updated: Feb 9, 2016

Practice Location

Address: 5080 SPECTRUM DRIVE
Address 2: SUITE 1200 WEST
City: Addison
State: Texas
ZIP Code: 75001
Phone: (972) 364-8083

Authorized Official

Name: DR. JOHN ANDERSON, DO
Title: PRESIDENT
Phone: (972) 364-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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