# PICHARDO HEALTH GROUP P C

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

## Provider details

- **NPI number:** 1063742765
- **Authorized official:** DR. NELSON R. PICHARDO M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (973) 928-2167

## Contact information

- **Practice address:** 80 PASSAIC AVE, SUITE 1, PASSAIC, NJ 07055-4860
- **Practice address phone:** (973) 928-2167
- **Practice address fax:** (973) 928-2170
- **Mailing address:** 80 PASSAIC AVE, SUITE 1, PASSAIC, NJ 07055-4860
- **Mailing address phone:** (973) 928-2167
- **Mailing address fax:** (973) 928-2170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA03887500 | NJ | Yes |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 02/25/2010