C. Dicovsky Medical Group, LLC
NPI #1821097940 in Paterson, New Jersey
Provider Information
- NPI Number
- 1821097940
- Entity Type
- Organization
- Organization Name
- C. Dicovsky Medical Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Mar 10, 2022
Practice Location
- Address
- 681 BROADWAY
- City
- Paterson
- State
- New Jersey
- ZIP Code
- 07514-1421
- Phone
- (973) 278-1000
Authorized Official
- Name
- TERESA LARES
- Title
- MANAGER
- Phone
- (973) 278-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Radiology - Body Imaging — Body Imaging |
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