Organization
ADVANCED MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY S. KOWAL M.D. (PRESIDENT)
(973) 928-5101
Entity
Organization
Contact information
Practice address
1450 MAIN AVE, CLIFTON, NJ 07011-2145
(973) 928-5101
(973) 928-5102
Mailing address
15 HILLCREST AVE, CLIFTON, NJ 07013-2627
(973) 928-5101
(973) 928-5102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09082500
NJ
261QP2300X
Primary Care Clinic/Center
25MA09082500
NJ
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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