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Organization
PATIENT CARE MEDICAL GROUP NEW YORK LLC
Active
Organization
PATIENT CARE MEDICAL GROUP NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PECORA (OWNER)
(609) 744-0050
Entity
Organization
Contact information
Practice address
26 MAIN ST, EDISON, NJ 08837-3418
(609) 521-4746
Mailing address
26 MAIN ST, EDISON, NJ 08837-3418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
183500000X
Pharmacist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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