Family Md Llc | |
393 Mulberry St Ste 203 Newark NJ 07102-3417 | |
(201) 733-9222 | |
Not Available |
Full Name | Family Md Llc |
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Speciality | Clinic/center |
Location | 393 Mulberry St Ste 203, Newark, New Jersey |
Authorized Official Name and Position | Magdy F Mahmoud (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 9733704000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Md Llc 110 Squire Hill Rd Montclair NJ 07043-2516 Ph: (973) 370-4000 | Family Md Llc 393 Mulberry St Ste 203 Newark NJ 07102-3417 Ph: (201) 733-9222 |
NPI Number | 1538851779 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 05/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538851779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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