# BETHEL MEDICAL CARE LLC

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

## Provider details

- **NPI number:** 1427351543
- **Authorized official:** DR. ASHA JOHN M.D (PHYSICIAN)
- **Authorized official phone:** (201) 220-8124

## Contact information

- **Practice address:** 5-27 6TH ST, FAIR LAWN, NJ 07410-1439
- **Practice address phone:** (201) 220-8124
- **Mailing address:** 5-27 6TH ST, FAIR LAWN, NJ 07410-1439
- **Mailing address phone:** (201) 220-8124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08590400 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | MA083287 | NJ | — |

## Other

- **Enumeration date:** 12/11/2010
- **Last updated:** 02/02/2011