Organization
FAMILY CARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEVE DAWSON SR. M.D. (CEO)
(908) 718-5649
Entity
Organization
Contact information
Practice address
431 MINER TER, LINDEN, NJ 07036-4139
(908) 718-5649
(908) 718-5995
Mailing address
431 MINER TER, LINDEN, NJ 07036-4139
(908) 718-5649
(908) 718-5995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA28520
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4004400
—
NJ
Enumeration date
11/04/2009
Last updated
05/16/2011
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