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Organization
WAYNE MEDICAL HEALTH PROFESSIONAL CORPORATION
Active
Organization
WAYNE MEDICAL HEALTH PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA ERAIBA MD (OWNER)
(973) 904-3480
Entity
Organization
Contact information
Practice address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
Mailing address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05764700
NJ
Other
Enumeration date
04/05/2016
Last updated
09/13/2016
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