Osteopathic Medical Care Center

Organization Primary Care Clinic/Center · NPI 1730363250

Osteopathic Medical Care Center provides Primary Care Clinic/Center services in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in: NJ
In the registry since: 2007

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Practice location Address checks out

39-40 Broadway
Fair Lawn, NJ 07410-5419 Not confirmed with CMS for 18 years — call before visiting
Phone: (201) 475-5006
Fax: (201) 475-5009

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary)	Taxonomy 261QP2300X · Licence 25MB06860100 (NJ)

Record details

NPI number	1730363250
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Aleksandr Martirosov — Do · (201) 475-5006
NPI enumerated	December 19, 2007
Last updated in NPPES	December 19, 2007
Mailing address	39-40 Broadway, Fair Lawn, NJ 07410-5419