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Organization
RAJA SALLOUM
Active
Organization
RAJA SALLOUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMEN EISSA (PRACTICE MANAGER)
(201) 424-1687
Entity
Organization
Contact information
Practice address
45 PARK ST, MONTCLAIR, NJ 07042-3439
(201) 887-6678
Mailing address
48 GREENLAWN AVE, CLIFTON, NJ 07013-3212
(201) 887-6678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC054551000
NJ
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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