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Organization

IDEAL FIRST ASSISTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENAMUL HOQUE (PRESIDENT)
(347) 653-8920
Entity
Organization

Contact information

Practice address
174 MAPES AVE FL 3, NEWARK, NJ 07112-2018
(347) 653-8920
Mailing address
174 MAPES AVE FL 3, NEWARK, NJ 07112-2018
(347) 653-8920

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
25MP00145100
NJ

Other

Enumeration date
04/04/2011
Last updated
04/04/2011
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