Elite Premier Medical Care Llc
Family Medicine Physician in Paterson, NJ(View on Map)
Legal Business Name
Elite Premier Medical Care Llc
NPI Number
1609144005
NPI Type
Organization
Enumeration Date
12/13/2011
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
25MA07147400
Contact
Information
Purpose
Mailing
Location
Address
425 15TH AVE STE 2
470 CHAMBERLAIN AVE STE 7
City
Paterson
Paterson
State
NJ
NJ
Postal Code
07504-1811
07522-1000
Country
US
US
Telephone Number
(973) 595-7400
(973) 595-7400
Authorized Official
Name
Miryam Revoredo
Title or Position
GENERAL MANEGAR
Telephone Number
(973) 595-7400
Identifiers
Identifier
8376808
Identifier State
NJ
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/13/2011
Provider Address
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