Organization
ELITE GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOREEN KAMAL-MOSTAFAVI MD (MD)
(201) 978-7146
Entity
Organization
Contact information
Practice address
1033 US HIGHWAY 46E SUITE 105, CLIFTON, NJ 07013
(718) 370-2222
(718) 494-2897
Mailing address
14 BLEEKER PLACE, STATEN ISLAND, NY 10314
(201) 978-7146
(718) 494-2897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA0958200
NJ
Other
Enumeration date
12/12/2016
Last updated
09/20/2018
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