Organization
MATAWAN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDA GHABRAS D.O. (PHYSICIAN)
(732) 970-6161
Entity
Organization
Contact information
Practice address
158 MAIN ST, SUITE 101, MATAWAN, NJ 07747-4104
(732) 970-6161
(732) 970-6163
Mailing address
158 MAIN ST, SUITE 101, MATAWAN, NJ 07747-4104
(732) 970-6161
(732) 970-6163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08392800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222453
—
NJ
Enumeration date
03/29/2010
Last updated
06/21/2010
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