Organization
EMPIRE MEDICAL II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ANTONIO SABIDO M.D. (OWNER)
(973) 350-9002
Entity
Organization
Contact information
Practice address
757 MT. PROSPECT AVENUE, NEWARK, NJ 07104-3220
(973) 350-9002
(973) 350-9009
Mailing address
1085 FRANKLIN LAKES ROAD, FRANKLIN LAKES, NJ 07417-1131
(973) 350-9002
(973) 350-9009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA07696900
NJ
261QP2300X
Primary Care Clinic/Center
25MA07696900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212776
—
NJ
Enumeration date
09/16/2009
Last updated
11/01/2012
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