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Organization

BETHEL MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHA JOHN M.D (PHYSICIAN)
(201) 220-8124
Entity
Organization

Contact information

Practice address
5-27 6TH ST, FAIR LAWN, NJ 07410-1439
(201) 220-8124
Mailing address
5-27 6TH ST, FAIR LAWN, NJ 07410-1439
(201) 220-8124

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08590400
NJ
207R00000X
Internal Medicine Physician
MA083287
NJ

Other

Enumeration date
12/11/2010
Last updated
02/02/2011
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