East 29th St Medical Associates, P.c.
NPI #1740315225 in Paterson, New Jersey
Provider Information
- NPI Number
- 1740315225
- Entity Type
- Organization
- Organization Name
- East 29th St Medical Associates, P.c.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Mar 24, 2011
Practice Location
- Address
- 542 E 29TH STREET
- City
- Paterson
- State
- New Jersey
- ZIP Code
- 07504-1814
- Phone
- (201) 281-8691
Authorized Official
- Name
- SHELLY D SAMUEL, MD
- Title
- OWNER
- Phone
- (201) 281-8692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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