Organization
MADAD GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R WEINE MD (PRESIDENT)
(201) 341-0570
Entity
Organization
Contact information
Practice address
513 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1710
(201) 341-0570
Mailing address
957 ROUTE 33 STE 330, HAMILTON SQUARE, NJ 08690-2727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03540500
NJ
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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