Organization
COMMUNITY MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD RAKLER PA (MANAGING PARTNER)
(908) 994-1500
Entity
Organization
Contact information
Practice address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 994-1500
Mailing address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 994-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05186600
NJ
Other
Enumeration date
10/31/2006
Last updated
05/20/2009
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