Organization
SOVEREIGN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAJJAR M.D. (OWNER)
(201) 855-8302
Entity
Organization
Contact information
Practice address
631 GRAND ST, SUITE 2-400, JERSEY CITY, NJ 07304-3451
(201) 636-6784
Mailing address
85 HARRISTOWN RD, 2ND FLOOR, GLEN ROCK, NJ 07452-3329
(201) 855-8301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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