Organization
ST. JOSEPH'S PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LANNO (CREDENTIALING COORDINATOR)
(973) 754-2052
Entity
Organization
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2052
Mailing address
703 MAIN ST, PHYSICIAN SERVICES DEPARTMENT, PATERSON, NJ 07503-2621
(973) 754-2052
(973) 754-2129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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