Organization
FAMILY PRACTICE CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERMIN J LEON M.D. (OWNER)
(201) 863-8342
Entity
Organization
Contact information
Practice address
504 51ST ST, WEST NEW YORK, NJ 07093-5503
(201) 863-8342
(201) 863-8415
Mailing address
504 51ST ST, WEST NEW YORK, NJ 07093-5503
(201) 863-8342
(201) 863-8415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03535900
NJ
208D00000X
General Practice Physician
25MA03535900
NJ
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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