Organization
PASSAIC COUNTY INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R. SANCHEZ-PENA M.D. (OWNER)
(201) 533-8000
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, SUITE 201, JERSEY CITY, NJ 07306-1326
(201) 533-8000
(201) 533-1734
Mailing address
550 NEWARK AVE, SUITE 201, JERSEY CITY, NJ 07306-1326
(201) 533-8000
(201) 533-1734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02636900
NJ
2085R0202X
Diagnostic Radiology Physician
25MA07405000
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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