Organization
HEMOSER II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ANTONIO SABIDO M.D. (OWNER)
(973) 594-0808
Entity
Organization
Contact information
Practice address
147 HAMILTON AVENUE, PASSAIC, NJ 07055-5240
(973) 594-0808
(973) 594-0508
Mailing address
1085 FRANKLIN LAKES ROAD, FRANKLIN LAKES, NJ 07417-1131
(973) 594-0808
(973) 594-0508
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
25MA07696900
NJ
261QP2300X
Primary Care Clinic/Center
Primary
25MA07696900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217671
—
NJ
Enumeration date
11/23/2009
Last updated
10/31/2012
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