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Organization

SECOND STREET MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP G WOODHAM MD (OWNER)
(201) 342-1877
Entity
Organization

Contact information

Practice address
386 2ND ST, HACKENSACK, NJ 07601-2731
(201) 342-1877
(201) 342-1879
Mailing address
386 2ND ST, HACKENSACK, NJ 07601-2731
(201) 342-1877
(201) 342-1879

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA67550
NJ

Other

Enumeration date
05/08/2006
Last updated
03/20/2013
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