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Organization

EXCELCARE MEDICAL ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RH0003X
Hematology & Oncology Physician
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1040197
NJ
Enumeration date
07/05/2006
Last updated
01/24/2025
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