Organization
EBLA'S OCCUPATIONAL, LLC
Active
Other names
EBLA'S OCCUPATIONAL MEDICINE AND BEYOND
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MHD HICHAM ALNACHAWATI MD (PRESIDENT)
(617) 699-2025
Entity
Organization
Contact information
Practice address
600 SOMERDALE RD STE 212, VOORHEES, NJ 08043-1858
(856) 432-3232
(856) 432-3233
Mailing address
600 SOMERDALE RD STE 212, VOORHEES, NJ 08043-1858
(856) 432-3232
(856) 432-3233
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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