Organization
SOVEREIGN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. HAJJAR (CEO)
(201) 834-1100
Entity
Organization
Contact information
Practice address
680 KINDERKAMACK RD, 3RD FLOOR SUITE 300, ORADELL, NJ 07649-1600
(201) 621-0858
(201) 444-0350
Mailing address
680 KINDERKAMACK RD, SUITE 300 3RD FLOOR, ORADELL, NJ 07649-1600
(201) 834-1100
(201) 444-0350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NJ
207RG0100X
Gastroenterology Physician
—
NJ
207V00000X
Obstetrics & Gynecology Physician
—
NJ
207ZC0006X
Clinical Pathology Physician
—
NJ
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
NJ
2085N0700X
Neuroradiology Physician
—
NJ
2085R0001X
Radiation Oncology Physician
—
NJ
2085R0202X
Diagnostic Radiology Physician
—
NJ
2085R0204X
Vascular & Interventional Radiology Physician
—
NJ
2085U0001X
Diagnostic Ultrasound Physician
—
NJ
208600000X
Surgery Physician
—
NJ
208800000X
Urology Physician
Primary
—
NJ
2088P0231X
Pediatric Urology Physician
—
NJ
208C00000X
Colon & Rectal Surgery Physician
—
NJ
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/18/2011
Last updated
09/12/2023
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