PATERSON CBOC (2203)    INSTITUTION (4)

Name Value
NAME PATERSON CBOC
STATE NEW JERSEY
STREET ADDR. 1 11 GETTY AVENUE, BUILDING 275
CITY PATERSON
ZIP 07503-9998
OFFICIAL VA NAME PATERSON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PATERSON VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1861439242
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 561GJ
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1861439242
  • CODING SYSTEM:   VASTANUM
    ID:   561GJ