Organization
BETHANY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHATHA ABUDAMOUS MD (OWNER)
(973) 574-3740
Entity
Organization
Contact information
Practice address
1010 MAIN ST STE 208B, PATERSON, NJ 07503-2212
(973) 320-7120
Mailing address
1010 MAIN ST, PATERSON, NJ 07503-2212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/06/2021
Last updated
11/26/2023
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