Organization
ERAIBE & ERAIBA INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA ERAIBA M.D. (VICE PRESIDENT)
(973) 904-3480
Entity
Organization
Contact information
Practice address
510 HAMBURG TPKE, SUIT 208, WAYNE, NJ 07470-2025
(973) 904-3480
Mailing address
510 HAMBURG TPKE, SUIT 208, WAYNE, NJ 07470-2025
(973) 904-3480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05764600
NJ
207R00000X
Internal Medicine Physician
25MA05764700
NJ
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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