Organization
NJ PREMIER MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN MAGHSOUDLOU (MANAGER)
(973) 773-2039
Entity
Organization
Contact information
Practice address
716 BROAD ST, CLIFTON, NJ 07013-1645
(973) 773-2039
Mailing address
PO BOX 717, WEST PATERSON, NJ 07424-0717
(973) 773-2039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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