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Contact Information

WELLCOMECARE PHYSICIAN GROUP PC
210 PASSAIC ST
GARFIELD, NJ07026
 Phone: 973-773-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WELLCOMECARE PHYSICIAN GROUP PC · (Female)

NPI Number 1407137292
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2011
Last updated 09/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA08742300
  • Other 217130YEMN MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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