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Organization

PREMIERE MEDICAL GROUP ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROTH RILEY MD (DIRECTOR)
(201) 794-4500
Entity
Organization

Contact information

Practice address
546 14TH AVE, PATERSON, NJ 07504-2206
(201) 794-4500
Mailing address
546 14TH AVE, PATERSON, NJ 07504-2206
(201) 794-4500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09551100
NJ

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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