| Kazmouz Medical Center Inc | |
|
7 Lee Pl Paterson NJ 07505-1803 | |
| (973) 742-1824 | |
| (973) 742-1818 |
| Full Name | Kazmouz Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Lee Pl, Paterson, New Jersey |
| Authorized Official Name and Position | Hasna M Kazmouz (DIRECT OWNER) |
| Authorized Official Contact | 9737421824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kazmouz Medical Center Inc 7 Lee Pl Paterson NJ 07505-1803 Ph: (973) 742-1824 | Kazmouz Medical Center Inc 7 Lee Pl Paterson NJ 07505-1803 Ph: (973) 742-1824 |
| NPI Number | 1366586794 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 05/09/2013 |
| Medicare PECOS PAC ID | 9830353465 |
|---|---|
| Medicare Enrollment ID | O20120612000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366586794 | NPI | - | NPPES |
| 8914109 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA72031 (New Jersey) | Primary |
| Provider Name | Hasna M Kazmouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548374747 PECOS PAC ID: 3577544634 Enrollment ID: I20120612000446 |
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