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Organization
SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY
Active
Organization
SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMMAR BAZERBASHI M.D (MEDICAL DOCTOR)
(732) 888-0017
Entity
Organization
Contact information
Practice address
668 N BEERS ST, SUITE 104, HOLMDEL, NJ 07733-1526
(732) 888-0017
(732) 888-0097
Mailing address
668 N BEERS ST, SUITE 104, HOLMDEL, NJ 07733-1526
(732) 888-0017
(732) 888-0097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA072160000
NJ
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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