Organization
FAIR LAWN MEDICAL ATTENTION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAIVD ROMAN M.D. (MEDICAL DIRECTOR)
(201) 794-3600
Entity
Organization
Contact information
Practice address
15-01 BROADWAY SUITE #12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
(201) 794-3600
(201) 794-3622
Mailing address
15-01 BROADWAY SUITE #12, FAIR LAWN MEDICAL ATTENTION CENTER, FAIR LAWN, NJ 07410
(201) 794-3600
(201) 794-3622
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
25MA04901700
NJ
Other
Enumeration date
01/09/2009
Last updated
09/12/2012
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