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Organization

NBIMC DEPARTMENT OF INTERNAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YASMIR BISAL (DIRECTOR)
(732) 557-7119
Entity
Organization

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7472
(973) 923-8063
Mailing address
PO BOX 18491, NEWARK, NJ 07191-8491
(732) 557-7119
(732) 557-7109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RR0500X
Rheumatology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7861702
NJ
Enumeration date
05/03/2006
Last updated
01/23/2008
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