Organization
SOVEREIGN MEDICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H HAJJAR MD (CEO/OWNER)
(201) 834-1100
Entity
Organization
Contact information
Practice address
85 HARRISTOWN RD STE 200, GLEN ROCK, NJ 07452
(201) 834-1100
Mailing address
85 HARRISTOWN RD STE 200, GLEN ROCK, NJ 07452
(201) 834-1100
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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