Organization
MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAUTHAR RIGGINS-PASHA (ADMININSTRATOR)
(201) 780-3079
Entity
Organization
Contact information
Practice address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
Mailing address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA07315400
NJ
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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