Sammy I. Masri Llc | |
30 W Century Rd Paramus NJ 07652-1433 | |
(201) 261-2000 | |
Not Available |
Full Name | Sammy I. Masri Llc |
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Speciality | Internal Medicine |
Location | 30 W Century Rd, Paramus, New Jersey |
Authorized Official Name and Position | Sammy I Masri (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2012612000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sammy I. Masri Llc 30 W Century Rd Paramus NJ 07652-1433 Ph: () - | Sammy I. Masri Llc 30 W Century Rd Paramus NJ 07652-1433 Ph: (201) 261-2000 |
NPI Number | 1063668846 |
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Provider Enumeration Date | 08/13/2008 |
Last Update Date | 08/13/2008 |
Medicare PECOS PAC ID | 8820019078 |
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Medicare Enrollment ID | O20051215000133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063668846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | 25MA07567400 (New Jersey) | Primary |
Provider Name | Sammy I Masri |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1396770426 PECOS PAC ID: 6901710730 Enrollment ID: I20031117000470 |
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