Provider Demographics
NPI:1609010305
Name:NORTH END FAMILY MEDICAL CARE INC.
Entity Type:Organization
Organization Name:NORTH END FAMILY MEDICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ESQUERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-412-7700
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-0529
Mailing Address - Country:US
Mailing Address - Phone:973-412-7700
Mailing Address - Fax:973-412-7703
Practice Address - Street 1:644 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3110
Practice Address - Country:US
Practice Address - Phone:973-483-4702
Practice Address - Fax:973-412-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty