Organization
ELIZABETH CENTER FOR FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C HERRERA MD (PRESIDENT)
(908) 353-7500
Entity
Organization
Contact information
Practice address
717 WESTFIELD AVE, ELIZABETH, NJ 07208-1327
(908) 353-7500
(908) 353-8590
Mailing address
717 WESTFIELD AVE, ELIZABETH, NJ 07208-1327
(908) 353-7500
(908) 353-8590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA07919100
NJ
Other
Enumeration date
08/08/2007
Last updated
10/25/2007
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