Organization
MEDICAL SPECIALISTS OF NORTHERN NEWJERSEY LLC
Active
Organization
MEDICAL SPECIALISTS OF NORTHERN NEWJERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALFAKIR MD (OWNER/MANAGER)
(973) 800-9261
Entity
Organization
Contact information
Practice address
54A HAZEN CT, WAYNE, NJ 07470-3212
(973) 800-9261
Mailing address
54A HAZEN CT, WAYNE, NJ 07470-3212
(973) 800-9261
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA08660200
NJ
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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