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Organization
REVIVE MEDICAL GROUP PC
Active
Organization
REVIVE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD FARHAN IJAZ MD (PRESIDENT)
(551) 486-1385
Entity
Organization
Contact information
Practice address
1136 CLIFTON AVE FL 1, CLIFTON, NJ 07013-3622
(862) 249-1266
(201) 984-2185
Mailing address
468 W SADDLE RIVER RD, UPPER SADDLE RIVER, NJ 07458-1626
(551) 486-1385
(201) 984-2185
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
NULL
111NX0800X
Orthopedic Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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