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Organization

HOUSE PHYSICIAN PARTNERS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3090
(201) 541-5936
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
208D00000X
General Practice Physician
208M00000X
Hospitalist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8580600
NJ
Enumeration date
07/15/2006
Last updated
05/08/2024
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