| Jersey Health Clinic | |
|
79 Nelson Ave Jersey City NJ 07307-4006 | |
| (201) 855-1200 | |
| (201) 967-8443 |
| Full Name | Jersey Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 79 Nelson Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Gamal K Hanna (MD) |
| Authorized Official Contact | 2019678425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Health Clinic Po Box 8265 North Bergen NJ 07047-8265 Ph: (201) 855-1200 | Jersey Health Clinic 79 Nelson Ave Jersey City NJ 07307-4006 Ph: (201) 855-1200 |
| NPI Number | 1598050452 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598050452 | NPI | - | NPPES |
| 1884808 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05217700 (New Jersey) | Primary |
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