Organization
CORNELL CLINICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHID MUSTAQUIM (PRESIDENT)
(908) 351-4550
Entity
Organization
Contact information
Practice address
171 ELMORA AVE, ELIZABETH, NJ 07202-1169
(908) 351-4550
(908) 351-4858
Mailing address
171 ELMORA AVE, ELIZABETH, NJ 07202-1169
(908) 351-4550
(908) 351-4858
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000533
NJ
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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