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Organization
TOTAL HEALTHCARE OF HAWTHORNE LLC
Active
Organization
TOTAL HEALTHCARE OF HAWTHORNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FREDY LUNA M.D. (PHYSICIAN)
(201) 543-9992
Entity
Organization
Contact information
Practice address
219 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1904
(201) 543-9992
Mailing address
PO BOX 4157, RIVER EDGE, NJ 07661-4157
(201) 543-9992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07806100
NJ
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
06/18/2012
Last updated
09/27/2013
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