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Organization

FAMILY PHYSICIAN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FELIX FERNANDO PACHECO M.D. (DR.)
(551) 206-8122
Entity
Organization

Contact information

Practice address
106 PROSPECT ST, RIDGEWOOD, NJ 07450-4433
(201) 689-1939
(201) 689-1935
Mailing address
PO BOX 454, GARFIELD, NJ 07026-0454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07566000
NJ

Other

Enumeration date
05/08/2006
Last updated
08/22/2020
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