Organization
MEDICAL SPECIALIST OF NORTHERN JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALFAKIR (OWNER/MANAGER)
(862) 239-6556
Entity
Organization
Contact information
Practice address
378 BELMONT AVE, HALEDON, NJ 07508-1353
(973) 925-4848
Mailing address
189 BERDAN AVE, SUITE 147, WAYNE, NJ 07470-3233
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA08660200
NJ
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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