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Organization
RIVERSIDE MEDICAL, LLC
Active
Organization
RIVERSIDE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZZAM ABU BAKER MD (PRESIDENT)
(201) 863-3346
Entity
Organization
Contact information
Practice address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 863-3346
(201) 863-5251
Mailing address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 863-3346
(201) 863-5251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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