# FAMILY MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215257878
- **Authorized official:** DR. ESSAM ABDOU OTHMAN M.D. (OWNER)
- **Authorized official phone:** (908) 436-0022

## Contact information

- **Practice address:** 700 N BROAD ST, ELIZABETH, NJ 07208-2310
- **Practice address phone:** (908) 436-0022
- **Mailing address:** 700 N BROAD ST, ELIZABETH, NJ 07208-2310
- **Mailing address phone:** (908) 436-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 25MA06234900 | NJ | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7077009 | — | NJ |