100 Main Medical Associates

LBN: 100 Main Medical Associates
100 Main Medical Associates is an health care organization with primary practice located at 100 Main St , Paterson NJ 07505-1024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. 100 Main Medical Associates can be contacted via phone (973) 523-0317, or through Taclob, Lowell via phone (973) 523-0317.

Contact Information

Primary practice address
100 Main St Paterson NJ 07505-1024
Phone: (973) 523-0317
Fax: (973) 684-8590
Website:
Map and Directions
Authorized official contact:
Name: Taclob, Lowell Doctor of Medicine (MD)
Phone: (973) 523-0317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1619378239
LBN Legal business name 100 Main Medical Associates
DBA Doing business as
Authorized official Taclob, Lowell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2014
Last updated Sep 15th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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