| Fjpl Newark Pc | |
|
119 Clifford St Suite 137 Newark NJ 07105-1908 | |
| (973) 370-4000 | |
| (862) 904-0044 |
| Full Name | Fjpl Newark Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Clifford St, Newark, New Jersey |
| Authorized Official Name and Position | Magdy F Mahmoud (CEO) |
| Authorized Official Contact | 9733704000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fjpl Newark Pc 110 Squire Hill Rd Montclair NJ 07043-2516 Ph: (973) 370-4000 | Fjpl Newark Pc 119 Clifford St Suite 137 Newark NJ 07105-1908 Ph: (973) 370-4000 |
| NPI Number | 1518477082 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518477082 | NPI | - | NPPES |
| 0263273 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08818300 (New Jersey) | Primary |
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