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Organization
FAIR LAWN MEDICAL ATTENTION CENTER PA
Active
Organization
FAIR LAWN MEDICAL ATTENTION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAIVD ROMAN M.D. (MEDICAL DIRECTOR)
(201) 794-3600
Entity
Organization
Contact information
Practice address
15-01 BROADWAY SUITE #12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
(201) 794-3600
(201) 794-3622
Mailing address
15-01 BROADWAY SUITE #12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
(201) 794-3600
(201) 794-3622
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
25MA04901700
NJ
Other
Enumeration date
01/09/2009
Last updated
09/12/2012
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