Organization
JERSEY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMAL K HANNA M.D. (MD)
(201) 967-8425
Entity
Organization
Contact information
Practice address
79 NELSON AVE, JERSEY CITY, NJ 07307-4006
(201) 855-1200
(201) 967-8443
Mailing address
PO BOX 8265, NORTH BERGEN, NJ 07047-8265
(201) 855-1200
(201) 967-8425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05217700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1884808
—
NJ
Enumeration date
06/17/2011
Last updated
06/17/2011
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