Organization
ALL TOTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGED BOUTROS M.D. (PRESIDENT)
19176184446
Entity
Organization
Contact information
Practice address
51 S PARK ST, SUITE 201, MONTCLAIR, NJ 07042-2735
(191) 761-8444
(888) 627-3079
Mailing address
51 S PARK ST, SUITE 201, MONTCLAIR, NJ 07042-2735
(191) 761-8444
(888) 627-3079
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
25MA08097300
NJ
282N00000X
General Acute Care Hospital
Primary
25MA08097300
NJ
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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