Organization
PATIENT CARE MEDICAL GROUP NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PECORA (OWNER)
(609) 744-0050
Entity
Organization
Contact information
Practice address
26 MAIN ST, EDISON, NJ 08837-3418
(609) 521-4746
Mailing address
26 MAIN ST, EDISON, NJ 08837-3418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
183500000X
Pharmacist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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