# J AMARRAH MEDICAL CARE SYSTEMS

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

## Provider details

- **NPI number:** 1750111381
- **Authorized official:** MR. LAURENCE G SALAZAR (CEO/PRESIDENT)
- **Authorized official phone:** (248) 562-7716

## Contact information

- **Practice address:** 29226 ORCHARD LAKE RD, STE 170, FARMINGTON HILLS, MI 48334-2984
- **Practice address phone:** (248) 562-7716
- **Mailing address:** 29226 ORCHARD LAKE RD, SSTE 170, FARMINGTON HILLS, MI 48334-2984
- **Mailing address phone:** (248) 562-7716
- **Mailing address fax:** (248) 562-7724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/07/2024