Organization
PASSAIC COUNTY INTEGRATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R SANCHEZ PENA M.D. (OWNER)
(973) 278-8818
Entity
Organization
Contact information
Practice address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 278-8818
(973) 278-6841
Mailing address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 278-8818
(973) 278-6841
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6846505
—
NJ
Enumeration date
10/31/2006
Last updated
04/20/2008
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