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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
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