Second Street Medical Associates
NPI #1679522775 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1679522775
- Entity Type
- Organization
- Organization Name
- Second Street Medical Associates
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 8, 2006
- Last Updated
- Mar 20, 2013
Practice Location
- Address
- 386 2ND ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2731
- Phone
- (201) 342-1877
Authorized Official
- Name
- DR. PHILIP G WOODHAM, MD
- Title
- OWNER
- Phone
- (201) 342-1877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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