Organization
JP ADVANCED SERVICE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A AZAR (PRESIDENT)
(734) 266-7840
Entity
Organization
Contact information
Practice address
31705 PLYMOUTH RD, LIVONIA, MI 48150-1905
(734) 266-7840
(734) 266-7841
Mailing address
31705 PLYMOUTH RD, LIVONIA, MI 48150-1905
(248) 579-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
08/13/2008
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