Organization
OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DEFEO DO (PHYSICIAN OWNER)
(551) 815-1000
Entity
Organization
Contact information
Practice address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(551) 500-5708
Mailing address
541 CEDAR HILL AVE STE 2, WYCKOFF, NJ 07481-2133
(551) 815-1000
(551) 815-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/16/2022
Last updated
12/14/2022
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