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Organization

GENERAL HEALTH GROUP LLC

Active
Other names
GENERAL CLINICA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MASOOD A RIZVI MD (PRESIDENT)
(201) 868-0257
Entity
Organization

Contact information

Practice address
7511 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5459
(201) 868-0257
Mailing address
7511 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5459
(201) 868-0257

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA02845500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3716503
NJ
Enumeration date
02/11/2011
Last updated
11/14/2012
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