# PLAZA FAMILY CARE PC

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

## Provider details

- **NPI number:** 1538231964
- **Authorized official:** MR. JOSEPH NOCILLA JR. MHA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (908) 850-7816

## Contact information

- **Practice address:** 657 WILLOW GROVE ST, SUITE 401, HACKETTSTOWN, NJ 07840-1713
- **Practice address phone:** (908) 850-7800
- **Practice address fax:** (908) 850-7803
- **Mailing address:** 657 WILLOW GROVE ST, SUITE 401, HACKETTSTOWN, NJ 07840-1713
- **Mailing address phone:** (908) 850-7800
- **Mailing address fax:** (908) 850-7803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA06550000 | NJ | Yes |
| 208000000X | Pediatrics Physician | 25MA02678000 | NJ | — |
| 208000000X | Pediatrics Physician | 25MA04754600 | NJ | — |
| 208000000X | Pediatrics Physician | 25MA05455400 | NJ | — |
| 208000000X | Pediatrics Physician | 25MA08700100 | NJ | — |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 09/24/2007