Organization
TOTAL MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AXAT S JANI M.D. (MEDICAL DIRECTOR)
(973) 790-1074
Entity
Organization
Contact information
Practice address
204 HALEDON AVE, PROSPECT PARK, NJ 07508-2023
(973) 790-1074
(973) 790-1929
Mailing address
204 HALEDON AVE, PROSPECT PARK, NJ 07508-2023
(973) 790-1074
(973) 790-1929
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA06601600
NJ
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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