Organization
WOMEN AND CHILDREN PRIMARY CARE OF PASSAIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN CRESPO (OFFICE MANAGER)
(973) 473-5053
Entity
Organization
Contact information
Practice address
61 PASSAIC AVE, PASSAIC, NJ 07055-4801
(973) 473-5053
(973) 574-9430
Mailing address
61 PASSAIC AVE, PASSAIC, NJ 07055-4801
(973) 473-5053
(973) 574-9430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5337101
—
NJ
Enumeration date
11/06/2006
Last updated
10/28/2008
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