Organization
CENTROMERE DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSAM EL-SHERBINY M.D. (PRESIDENT)
(201) 289-8765
Entity
Organization
Contact information
Practice address
230 W PASSAIC ST, MAYWOOD, NJ 07607-1267
(201) 289-8766
(201) 289-8764
Mailing address
230 W PASSAIC ST, MAYWOOD, NJ 07607-1267
(201) 289-8766
(201) 289-8764
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00017464
NJ
Other
Enumeration date
04/08/2010
Last updated
07/21/2010
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