Liberty Medical Associates, Llc | |
506 Central Ave Orange NJ 07050-1432 | |
(201) 218-8422 | |
Not Available |
Full Name | Liberty Medical Associates, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 506 Central Ave, Orange, New Jersey |
Authorized Official Name and Position | Tariq Mahmood (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2012188422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberty Medical Associates, Llc 146 Brewster Ave Piscataway NJ 08854-2229 Ph: (201) 218-8422 | Liberty Medical Associates, Llc 506 Central Ave Orange NJ 07050-1432 Ph: (201) 218-8422 |
NPI Number | 1659125185 |
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Provider Enumeration Date | 04/12/2024 |
Last Update Date | 04/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659125185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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