Organization
CLIFTON PHYSICIAN ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G HADDAD M.D. (MEMBER/ MANAGER)
(973) 779-7979
Entity
Organization
Contact information
Practice address
1033 ROUTE 46, SUITE 102, CLIFTON, NJ 07013-2473
(973) 779-7979
(973) 779-7970
Mailing address
1033 ROUTE 46, SUITE 102, CLIFTON, NJ 07013-2473
(973) 779-7979
(973) 779-7970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00383100
NJ
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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