Organization
S. R. ID GROUP PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASMEEN SULTANA M.D. (OWNER)
(201) 563-5651
Entity
Organization
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2770
Mailing address
11 GODWIN PL, CLIFTON, NJ 07013-3707
(201) 563-5651
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA09126400
NJ
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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