Organization
M M MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOURAD ISMAIL MD (OWNER)
(973) 458-0114
Entity
Organization
Contact information
Practice address
29 MOUNTAIN AVE, HAWTHORNE, NJ 07506-3309
(973) 458-0114
(973) 458-0661
Mailing address
PO BOX 1217, CLIFTON, NJ 07012-0717
(973) 458-0114
(973) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07839900
NJ
Other
Enumeration date
07/17/2007
Last updated
03/21/2008
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