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Individual

ISLAM KASSAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
703 MAIN STREET, PATERSON, NJ 07503
(973) 754-2486
(973) 754-2975
Mailing address
128 LEONARD ST, JERSEY CITY, NJ 07307-3102
(201) 780-9487

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00354100
NJ

Other

Enumeration date
10/17/2014
Last updated
09/04/2018
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