Organization
FIDELIS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIJUAN WANG MD (MEDICAL DIRECTOR)
(732) 221-6870
Entity
Organization
Contact information
Practice address
1042 MAIN ST, PATERSON, NJ 07503-2212
(973) 510-2444
(973) 278-2818
Mailing address
101 CRAWFORDS CORNER RD STE 1014R, HOLMDEL, NJ 07733-1976
(605) 915-3202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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