Organization
PATERSON COMMUNITY CLINIC P.A.
Active
Other names
Reliable Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD BADER AQEL MD (PRESIDENT)
(973) 670-9102
Entity
Organization
Contact information
Practice address
37 CROOKS AVE, PATERSON, NJ 07503-1401
(862) 257-1761
(973) 685-9920
Mailing address
37 CROOKS AVE, PATERSON, NJ 07503-1401
(862) 257-1761
(973) 685-9920
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00032051
NJ
Other
Enumeration date
10/08/2014
Last updated
12/05/2014
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