| J S Moukdad Md Llc | |
|
1265 Paterson Plank Rd Suite 3 B Secaucus NJ 07094-3242 | |
| (201) 223-1121 | |
| (201) 223-1126 |
| Full Name | J S Moukdad Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Paterson Plank Rd, Secaucus, New Jersey |
| Authorized Official Name and Position | Jihad S Moukdad (PRESIDENT) |
| Authorized Official Contact | 2012231121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J S Moukdad Md Llc 1265 Paterson Plank Rd Suite 3b Secaucus NJ 07094-3242 Ph: (201) 223-1121 | J S Moukdad Md Llc 1265 Paterson Plank Rd Suite 3 B Secaucus NJ 07094-3242 Ph: (201) 223-1121 |
| NPI Number | 1801082136 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 4880662493 |
|---|---|
| Medicare Enrollment ID | O20040922000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA61069 (New Jersey) | Primary |
| Provider Name | Jihad S Moukdad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235221094 PECOS PAC ID: 0042205577 Enrollment ID: I20040415000661 |
| Provider Name | Amanda Moukdad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326605528 PECOS PAC ID: 5193109700 Enrollment ID: I20230227000403 |
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