Organization
FIRST CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J AMBROSIO MD (MEDICAL DIRECTOR)
(973) 857-8995
Entity
Organization
Contact information
Practice address
50 POMPTON AVENUE, VERONA, NJ 07044
(973) 857-8995
(973) 857-7034
Mailing address
PO BOX 36072, NEWARK, NJ 07188-6006
(973) 857-8995
(973) 857-7034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA037714
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000471084
HIGH MARK BS
NJ
01
—
0107835001
AMERIHEALTH
NJ
01
—
0K2192
HEALTHNET
NJ
Enumeration date
09/15/2006
Last updated
04/02/2009
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