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Organization

MGM MEDIC PC

Active
Other names
MGM MEDIC, PC
Organization subpart
No

Provider details

NPI number
Authorized official
BASSEM G HANNA MD (DIRECTOR)
(203) 524-5566
Entity
Organization

Contact information

Practice address
3215 GATES CT, MORRIS PLAINS, NJ 07950-3475
(203) 524-5566
Mailing address
3215 GATES CT, MORRIS PLAINS, NJ 07950-3475
(203) 524-5566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA087883900
NJ

Other

Enumeration date
01/06/2010
Last updated
05/27/2011
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