Organization
ELIZABETH BAYWAY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYUR AJBANI M.D. (OWNER)
(908) 994-1900
Entity
Organization
Contact information
Practice address
636 BAYWAY AVE, ELIZABETH, NJ 07202-2613
(908) 994-1900
(908) 994-0900
Mailing address
636 BAYWAY AVE, ELIZABETH, NJ 07202-2613
(908) 994-1900
(908) 994-0900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA079138
NJ
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/25/2012
Last updated
08/31/2012
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