Organization
MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS TELLO MD (MEDICAL IRECTOR)
(973) 345-7113
Entity
Organization
Contact information
Practice address
998 MADISON AVE, PATERSON, NJ 07501-3737
(973) 345-7113
(973) 278-5395
Mailing address
PO BOX 1859, PATERSON, NJ 07509-1859
(973) 345-7113
(973) 278-5395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA04703100
NJ
2086S0129X
Vascular Surgery Physician
25MA04703100
NJ
208D00000X
General Practice Physician
Primary
25MA04703100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6688900
—
NJ
Enumeration date
03/08/2007
Last updated
01/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us