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Organization
OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Active
Organization
OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DEFEO DO (PHYSICIAN OWNER)
(551) 815-1000
Entity
Organization
Contact information
Practice address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(551) 500-5708
Mailing address
541 CEDAR HILL AVE STE 2, WYCKOFF, NJ 07481-2133
(551) 815-1000
(551) 815-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/16/2022
Last updated
12/14/2022
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