Organization
OPTIMUM PRI-MED CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR J LEON-WONG (OWNER/MEDICAL DIRECTOR)
(973) 476-2528
Entity
Organization
Contact information
Practice address
293 MONROE ST, PASSAIC, NJ 07055-5209
(973) 476-2528
Mailing address
293 MONROE ST, PASSAIC, NJ 07055-5209
(973) 476-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05907400
NJ
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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