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Organization
WAYNE PRIMARY CARE, P.A.
Active
Organization
WAYNE PRIMARY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERHAN KUCUK M.D. (PRESIDENT)
(973) 595-0096
Entity
Organization
Contact information
Practice address
508 HAMBURG TPKE, SUITE102, WAYNE, NJ 07470-8482
(973) 595-0096
(973) 595-6414
Mailing address
508 HAMBURG TPKE, SUITE102, WAYNE, NJ 07470-8482
(973) 595-0096
(973) 595-6414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8143200
—
NJ
Enumeration date
08/02/2005
Last updated
07/21/2022
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