Organization
PASSAIC MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAEL ABUTABIKH M.D. (PRESIDENT)
(973) 777-3222
Entity
Organization
Contact information
Practice address
166 MAIN AVE, PASSAIC, NJ 07055-5442
(973) 777-3222
Mailing address
362 MONROE ST, PASSAIC, NJ 07055
(973) 777-3222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BA9378161
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079049
—
NJ
Enumeration date
10/02/2007
Last updated
11/18/2014
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