| Family Md Llc | |
|
393 Mulberry St Ste 203 Newark NJ 07102-3417 | |
| (201) 733-9222 | |
| Not Available |
| Full Name | Family Md Llc |
|---|---|
| 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 |
|---|---|
| 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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