Women and Children Primary Care of Passaic

Organization Active NPI Obstetrics & Gynecology Physician · Passaic, NJ

NPI 1831278282 · NPPES record last updated Oct 28, 2008

Key facts

NPI
1831278282
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
WOMEN AND CHILDREN PRIMARY CARE OF PASSAIC
Practice address
61 Passaic Ave
Passaic, NJ 07055-4801
Phone
(973) 473-5053
Fax
(973) 574-9430
NPI assigned
Nov 6, 2006
Organization subpart
No

Authorized official

Name
Mrs. Marilyn Crespo
Title
Office Manager
Phone
(973) 473-5053

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

61 Passaic Ave
Passaic, NJ 07055
Phone (973) 405-0050

61 Passaic Ave
Ste 1
Passaic, NJ 07055

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

61 Passaic Ave
Passaic, NJ 07055-4801

Mailing address

61 Passaic Ave
Passaic, NJ 07055-4801
Phone (973) 473-5053

Other identifiers

IdentifierTypeStateIssuer
5337101MedicaidNJ

Other providers in Passaic, NJ

All providers in Passaic, NJ · Obstetrics & Gynecology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.