OrganizationActive
100 Main Medical Associates
NPI 1619378239 · Internal Medicine Physician · Paterson, NJ
Provider details
- NPI number
- 1619378239
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lowell Taclob, President
Practice location
100 Main St
Paterson, NJ 07505-1024
Phone: (973) 523-0317
Fax: (973) 684-8590
Mailing address
100 Main St
Paterson, NJ 07505-1024
Registry dates
- Enumerated
- 2014-09-15
- Last updated
- 2014-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.