Organization
J. SLIM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIHAD SLIM M.D (PRESIDENT)
(239) 597-0704
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(239) 597-0704
(239) 597-0709
Mailing address
PO BOX 8179, GLEN RIDGE, NJ 07028-8179
(239) 597-0704
(239) 597-0709
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA04504500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225746
—
NJ
05
—
1015508
—
NJ
Enumeration date
10/29/2009
Last updated
12/20/2019
Update your record
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