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Organization
ST MARYS GENERAL MEDICAL GROUP PC
Active
Organization
ST MARYS GENERAL MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED IFTIKHAR KAZMI MD (PRESIDENT)
(973) 877-5308
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
11/07/2022
Last updated
07/30/2025
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