Organization
100 MAIN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL TACLOB MD (PRESIDENT)
(973) 523-0317
Entity
Organization
Contact information
Practice address
100 MAIN ST, PATERSON, NJ 07505-1024
(973) 523-0317
(973) 684-8590
Mailing address
100 MAIN ST, PATERSON, NJ 07505-1024
(973) 523-0317
(973) 684-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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