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Organization

HORIZON MEDICAL OF NEW JERSEY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WASEEM GHANNAM MD (PRESIDENT)
(704) 231-4571
Entity
Organization

Contact information

Practice address
65 JAY ST, NEWARK, NJ 07103-3235
(704) 231-4571
Mailing address
29 LITTLE NASSAU ST STE 102, BROOKLYN, NY 11205-5267
(704) 231-4571

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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