Organization
PASSAIC MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAEL ABUTABIKH MD (OWNER)
(973) 777-3222
Entity
Organization
Contact information
Practice address
362 MONROE ST, PASSAIC, NJ 07055-4114
(973) 777-3222
(973) 777-3225
Mailing address
362 MONROE ST, PASSAIC, NJ 07055-4114
(973) 777-3222
(973) 777-3225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07945900
STATE LICENSE
NJ
Enumeration date
03/08/2021
Last updated
03/08/2021
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