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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

NPI Number 1407137292
LBN Legal business name WELLCOMECARE PHYSICIAN GROUP PC
Authorized official JOHN ANASTASI - (PARTNER/ MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2011
Last updated 09/07/2011 - About 15 years ago
Identifiers
NJ License # 25MA08742300
Other 217130YEMN MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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