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Organization

PLAZA FAMILY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH NOCILLA JR. MHA (PRACTICE ADMINISTRATOR)
(908) 850-7816
Entity
Organization

Contact information

Practice address
657 WILLOW GROVE ST, SUITE 401, HACKETTSTOWN, NJ 07840-1713
(908) 850-7800
(908) 850-7803
Mailing address
657 WILLOW GROVE ST, SUITE 401, HACKETTSTOWN, NJ 07840-1713
(908) 850-7800
(908) 850-7803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06550000
NJ
208000000X
Pediatrics Physician
25MA02678000
NJ
208000000X
Pediatrics Physician
25MA04754600
NJ
208000000X
Pediatrics Physician
25MA05455400
NJ
208000000X
Pediatrics Physician
25MA08700100
NJ

Other

Enumeration date
11/14/2006
Last updated
09/24/2007
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