| Blue Star Lotus Llc | |
|
120 Elmora Ave Elizabeth NJ 07202-1625 | |
| (973) 370-4000 | |
| (973) 370-4040 |
| Full Name | Blue Star Lotus Llc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 120 Elmora Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Magdy F Mahmoud (OWNER/CEO) |
| Authorized Official Contact | 9733704000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Star Lotus Llc 110 Squire Hill Rd Montclair NJ 07043-2516 Ph: (973) 370-4000 | Blue Star Lotus Llc 120 Elmora Ave Elizabeth NJ 07202-1625 Ph: (973) 370-4000 |
| NPI Number | 1023649712 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023649712 | NPI | - | NPPES |
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