Primary Care Medical Group PA

NPI #1134386410 in Harrison, New Jersey

Provider Information

NPI Number: 1134386410
Entity Type: Organization
Organization Name: Primary Care Medical Group PA
Primary Specialty: Internal Medicine
Enumeration Date: May 22, 2008
Last Updated: Jun 4, 2008

Practice Location

Address: 450 BERGEN ST
City: Harrison
State: New Jersey
ZIP Code: 07029-2291
Phone: (973) 484-6900

Authorized Official

Name: RALPH S D'AGOSTINO, MD
Title: OWNER
Phone: (973) 484-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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