# BETHANY CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811655863
- **Authorized official:** DR. SHATHA ABUDAMOUS MD (OWNER)
- **Authorized official phone:** (973) 574-3740

## Contact information

- **Practice address:** 1010 MAIN ST STE 208B, PATERSON, NJ 07503-2212
- **Practice address phone:** (973) 320-7120
- **Mailing address:** 1010 MAIN ST, PATERSON, NJ 07503-2212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 11/26/2023