Fidelis Medical Group Llc
Family Medicine Physician in Paterson, NJ(View on Map)
Legal Business Name
Fidelis Medical Group Llc
NPI Number
1093409310
NPI Type
Organization
Enumeration Date
06/08/2023
Specialties
(Taxonomies)Code
207Q00000X
207R00000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
101 CRAWFORDS CORNER RD STE 1014R
1042 MAIN ST
City
Holmdel
Paterson
State
NJ
NJ
Postal Code
07733-1976
07503-2212
Country
US
US
Telephone Number
(605) 915-3202
(973) 510-2444
Authorized Official
Name
Aijuan Wang
Title or Position
MEDICAL DIRECTOR
Telephone Number
(732) 221-6870
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/08/2023
Provider Address
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