Organization
CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM BEBAWY M.D. (CO PRESIDENT)
(732) 264-1001
Entity
Organization
Contact information
Practice address
719 N BEERS ST, SUITE 2 E & F, HOLMDEL, NJ 07733-1522
(732) 264-1001
(732) 264-4495
Mailing address
719 N BEERS ST, SUITE 2 E & F, HOLMDEL, NJ 07733-1522
(732) 264-1001
(732) 264-4495
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356405419
NPI
NJ
01
—
1396717971
NPI
NJ
Enumeration date
11/07/2016
Last updated
11/07/2016
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