Organization
PRIMARY CARE MEDICAL GROUP PA
Active
Other names
Medical Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH S D'AGOSTINO MD (OWNER)
(973) 484-6900
Entity
Organization
Contact information
Practice address
450 BERGEN ST, HARRISON, NJ 07029-2291
(973) 484-6900
(973) 484-0029
Mailing address
450 BERGEN ST, HARRISON, NJ 07029-2291
(973) 484-6900
(973) 484-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31348
NJ
Other
Enumeration date
05/22/2008
Last updated
06/04/2008
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