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Organization

MUJTABA NP WALK IN CLINIC, PC

Active
Parent organization
MUJTABA NP WALK IN CLINIC PROFESSIONAL CORPORATION
Other names
Stat Primary NP Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MUJTABA NP WALK IN CLINIC PROFESSIONAL CORPORATION
Authorized official
MR. ASSAD MUJTABA (PRESIDENT)
(973) 200-2430
Entity
Organization

Contact information

Practice address
2123 KENNEDY BLVD, NORTH BERGEN, NJ 07047
(973) 200-2430
Mailing address
859 CLIFTON AVE STE H, CLIFTON, NJ 07013-1715
(973) 310-9066

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
07/12/2023
Last updated
11/01/2024
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