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NPI Code Detail

MEDICARE: PARAMOUNT MEDICAL GROUP, PC

MEDICARE: PARAMOUNT MEDICAL GROUP, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1245225705
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARAMOUNT MEDICAL GROUP, PC
Provider Business Mailing Address
First Line : 8 MOUNTAIN BLVD
Second Line : SUITE B
City : WARREN
State : NJ
Zip : 07059-2638
Country : US
Telephone Number : 908-222-0048
Fax Number : 908-222-3709
Provider Business Practice Location Address
First Line : 8 MOUNTAIN BLVD
Second Line :
City : WARREN
State : NJ
Zip : 07059-5614
Country : US
Telephone Number : 908-561-8600
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. EPIFANIO CALCARA
Credential : M.D.
Telephone Number : 908-222-0048
Provider Enumeration Date : 09/12/2005
Last Update Date : 09/28/2011

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Directions to “PARAMOUNT MEDICAL GROUP, PC ” Practice Location

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