| Wayne Primary Care, P.a. | |
|
508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 | |
| (973) 595-0096 | |
| (973) 595-6414 |
| Full Name | Wayne Primary Care, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Erhan Kucuk (PRESIDENT) |
| Authorized Official Contact | 9735950096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Primary Care, P.a. 508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 Ph: (973) 595-0096 | Wayne Primary Care, P.a. 508 Hamburg Tpke Suite102 Wayne NJ 07470-8482 Ph: (973) 595-0096 |
| NPI Number | 1285635177 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285635177 | NPI | - | NPPES |
| 8143200 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
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