| Organization Name: | COMPLETE CARE MEDICAL ASSOCIATES, PC |
| NPI Number: | 1851772974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT JOHN FALLON (PRESIDENT) |
| Mailing Address: | 1814 E 2nd St Scotch Plains |
| State: | NJ US |
| Postal Code: | 070761751 |
| Phone Number: | 9083226611 |
| Fax Number: | 9082263001 |
| NPI Enumeration Date: | 06/15/2015 |
| NPI Last Update Date: | 06/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MA60650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |