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Organization

WIDERCARE COMMUNITY HEALTH OF NEW JERSEY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP A MITCHELL MD (OWNER)
(720) 480-9613
Entity
Organization

Contact information

Practice address
317 GEORGE ST STE 320, NEW BRUNSWICK, NJ 08901-2091
(323) 776-3632
Mailing address
1303 PENDLETON ST SE, ATLANTA, GA 30316-3801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
06/11/2026
Last updated
06/11/2026
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