# FAIR LAWN MEDICAL ATTENTION CENTER PA

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

## Provider details

- **NPI number:** 1154568335
- **Authorized official:** DR. DAIVD ROMAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 794-3600

## Contact information

- **Practice address:** 15-01 BROADWAY SUITE \#12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
- **Practice address phone:** (201) 794-3600
- **Practice address fax:** (201) 794-3622
- **Mailing address:** 15-01 BROADWAY SUITE \#12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
- **Mailing address phone:** (201) 794-3600
- **Mailing address fax:** (201) 794-3622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 25MA04901700 | NJ | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 09/12/2012