# PREMIER OB/GYN LLC

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

## Provider details

- **NPI number:** 1336313113
- **Authorized official:** MRS. DECCA MOHAMMED MD (MD)
- **Authorized official phone:** (973) 429-2209

## Contact information

- **Practice address:** 135 BLOOMFIELD AVE, SUITE L, BLOOMFIELD, NJ 07003-5902
- **Practice address phone:** (973) 429-2209
- **Practice address fax:** (973) 429-2210
- **Mailing address:** 135 BLOOMFIELD AVE, SUITE L, BLOOMFIELD, NJ 07003-5902
- **Mailing address phone:** (973) 429-2209
- **Mailing address fax:** (973) 429-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA07375800 | NJ | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/06/2011