Organization
MEDICAL GROUP OF ENGLEWOOD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELI S DJEBIYAN M.D. (OWNER)
(201) 569-9010
Entity
Organization
Contact information
Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 569-9010
(201) 569-9063
Mailing address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 569-9010
(201) 569-9063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0 68121
NJ
Other
Enumeration date
09/10/2007
Last updated
04/20/2008
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