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Organization

ROYAL AQUARIUS EMPIRE

Active
Other names
Royal Aquarius Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MUHAMMAD ALI (PRESIDENT & OWNER)
(646) 847-3322
Entity
Organization

Contact information

Practice address
287 CHEESEQUAKE ROAD, BLDG 1B, SUITE # 6807, PARLIN, NJ 08859
(855) 258-8785
(877) 395-0661
Mailing address
287 CHEESEQUAKE RD, BLDG 1B, SUITE # 6807, PARLIN, NJ 08859-1085

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
302F00000X
Exclusive Provider Organization
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
04/30/2015
Last updated
04/30/2015
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