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Organization
PREMIER OB/GYN LLC
Active
Organization
PREMIER OB/GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DECCA MOHAMMED MD (MD)
(973) 429-2209
Entity
Organization
Contact information
Practice address
135 BLOOMFIELD AVE, SUITE L, BLOOMFIELD, NJ 07003-5902
(973) 429-2209
(973) 429-2210
Mailing address
135 BLOOMFIELD AVE, SUITE L, BLOOMFIELD, NJ 07003-5902
(973) 429-2209
(973) 429-2210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07375800
NJ
Other
Enumeration date
04/14/2008
Last updated
04/06/2011
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