Organization
APR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN PUTCHA D.O. (OWNER)
(917) 972-3618
Entity
Organization
Contact information
Practice address
143 ANDERSON AVE, FAIRVIEW, NJ 07022-2001
(201) 654-6397
Mailing address
143 ANDERSON AVE, FAIRVIEW, NJ 07022-2001
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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