Premier Family Medical, PC

NPI #1891740643 in Caldwell, New Jersey

Provider Information

NPI Number: 1891740643
Entity Type: Organization
Organization Name: Premier Family Medical, PC
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 110 BLOOMFIELD AVE
City: Caldwell
State: New Jersey
ZIP Code: 07006-5336
Phone: (973) 403-3200

Authorized Official

Name: DR. VITO MAZZOCCOLI, M.D
Title: MEDICAL DIRECTOR
Phone: (973) 403-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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