Organization

Premiere Medical Group Associates

Family Medicine Physician in Paterson, NJ(View on Map)

Legal Business Name

Premiere Medical Group Associates

NPI Number

1902313315

NPI Type

Organization

Enumeration Date

01/08/2018

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

25MA09551100

Contact
Information

Purpose

Mailing
Location

Address

546 14TH AVE
546 14TH AVE

City

Paterson
Paterson

State

NJ
NJ

Postal Code

07504-2206
07504-2206

Country

US
US

Telephone Number

(201) 794-4500
(201) 794-4500

Authorized Official

Name

Dr. Roth Riley

Title or Position

DIRECTOR

Telephone Number

(201) 794-4500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/08/2018

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