Organization

Community Health Group Llc

General Practice Physician in Paterson, NJ(View on Map)

Legal Business Name

Community Health Group Llc

NPI Number

1003581042

NPI Type

Organization

Enumeration Date

08/11/2021

Specialties

(Taxonomies)

Code

208D00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

540 STRAIGHT ST STE 2C
540 STRAIGHT ST STE 2C

City

Paterson
Paterson

State

NJ
NJ

Postal Code

07503-3240
07503-3240

Country

US
US

Telephone Number

(862) 657-5500
(862) 657-5500

Authorized Official

Name

Luis Luna

Title or Position

MEDICAL DIRECTOR

Telephone Number

(973) 782-5550

Identifiers

Identifier

1780957530

Identifier State

NJ

Identifier Issuer

INTERNAL MEDICINE

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

Data last updated by provider on 08/11/2021

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