Organization
COMMUNITY HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FREDDY LUNA MD (MEDICAL DIRECTOR)
(973) 782-5550
Entity
Organization
Contact information
Practice address
540 STRAIGHT ST STE 2C, PATERSON, NJ 07503-3240
(862) 657-5500
(862) 657-5501
Mailing address
540 STRAIGHT ST STE 2C, PATERSON, NJ 07503-3240
(862) 657-5500
(862) 657-5501
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780957530
INTERNAL MEDICINE
NJ
Enumeration date
08/11/2021
Last updated
08/11/2021
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