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Organization
HUDSON PREMIER MEDICAL PC
Active
Organization
HUDSON PREMIER MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR KIFAIEH MD (PRESIDENT)
(201) 392-3100
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 325-6744
Mailing address
PO BOX 825403, PHILADELPHIA, PA 19182-5403
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
12/30/2019
Last updated
02/02/2023
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