# COMMUNITY HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003581042
- **Authorized official:** LUIS FREDDY LUNA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (973) 782-5550

## Contact information

- **Practice address:** 540 STRAIGHT ST STE 2C, PATERSON, NJ 07503-3240
- **Practice address phone:** (862) 657-5500
- **Practice address fax:** (862) 657-5501
- **Mailing address:** 540 STRAIGHT ST STE 2C, PATERSON, NJ 07503-3240
- **Mailing address phone:** (862) 657-5500
- **Mailing address fax:** (862) 657-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 08/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1780957530 | INTERNAL MEDICINE | NJ |