Provider Demographics
NPI:1740578020
Name:MEDCARE GROUP LLC
Entity Type:Organization
Organization Name:MEDCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCOLAMIERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-227-0020
Mailing Address - Street 1:150 FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-2407
Mailing Address - Country:US
Mailing Address - Phone:973-227-0020
Mailing Address - Fax:
Practice Address - Street 1:150 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2407
Practice Address - Country:US
Practice Address - Phone:973-227-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty