| Organization Name: | TOTAL MEDICAL CARE |
| NPI Number: | 1902045966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AXAT S JANI (MEDICAL DIRECTOR) |
| Mailing Address: | 204 Haledon Ave Prospect Park |
| State: | NJ US |
| Postal Code: | 075082023 |
| Phone Number: | 9737901074 |
| Fax Number: | 9737901929 |
| NPI Enumeration Date: | 02/16/2009 |
| NPI Last Update Date: | 02/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MA06601600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |