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Organization

MEDINA COMMUNITY CLINIC INC

Active
Other names
Medina Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MIRA SADEGHI MPH (DIRECTOR OF OPERATIONS)
(609) 533-1918
Entity
Organization

Contact information

Practice address
828 N OLDEN AVE STE 2, TRENTON, NJ 08638-4902
(609) 323-5159
Mailing address
3628 US HIGHWAY 1, PRINCETON, NJ 08540-5922
(609) 533-1918

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/16/2024
Last updated
10/16/2024
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