Organization
LIBERTY MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARIQ MAHMOOD NP (CHIEF EXECUTIVE OFFICER)
(201) 218-8422
Entity
Organization
Contact information
Practice address
506 CENTRAL AVE, ORANGE, NJ 07050-1432
(201) 218-8422
Mailing address
146 BREWSTER AVE, PISCATAWAY, NJ 08854-2229
(201) 218-8422
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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