Organization
ELITE WOMAN'S MEDICAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEM QALLA M.D. (OWNER)
(718) 791-8551
Entity
Organization
Contact information
Practice address
110 4TH AVE, BROOKLYN, NY 11217-2787
(718) 852-5810
(718) 802-1223
Mailing address
20 2ND ST, APT 1603, JERSEY CITY, NJ 07302-3075
(201) 656-0806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
253610
NY
Other
Enumeration date
08/04/2012
Last updated
08/04/2012
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