Organization
PASSAIC MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAEL A ABUTABIKH MD (PHYSICIAN)
(973) 777-3222
Entity
Organization
Contact information
Practice address
362 MONROE ST, PASSAIC, NJ 07055-4114
(973) 777-3222
(973) 777-3225
Mailing address
362 MONROE ST, PASSAIC, NJ 07055-4114
(973) 777-3222
(973) 777-3225
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA07945900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079049
—
NJ
Enumeration date
10/01/2015
Last updated
10/01/2015
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