Organization
MD MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMEL W BETANCOURT (PRESIDENT)
(908) 230-5572
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST STE 201, ELIZABETH, NJ 07201-2431
(908) 230-5572
Mailing address
1139 E JERSEY ST STE 201, ELIZABETH, NJ 07201-2431
(908) 230-5572
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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