# NORTHEAST MEDICAL CARE, PC

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

## Provider details

- **NPI number:** 1275570418
- **Authorized official:** MRS. TARA JEAN NAKOA (BILLING COORDINATOR)
- **Authorized official phone:** (610) 997-0779

## Contact information

- **Practice address:** 59 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1627
- **Practice address phone:** (908) 454-8600
- **Practice address fax:** (908) 454-3524
- **Mailing address:** 59 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1627
- **Mailing address phone:** (908) 454-8600
- **Mailing address fax:** (908) 454-3524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 12/05/2007