Organization
OMNI MEDICAL OF NJ PC
Active
Organization
OMNI MEDICAL OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ABOUFARES MD (PRESIDENT)
(212) 319-3977
Entity
Organization
Contact information
Practice address
1009 79TH ST STE 1, NORTH BERGEN, NJ 07047-4981
(212) 319-3977
(212) 721-0806
Mailing address
1009 79TH ST STE 1, NORTH BERGEN, NJ 07047-4981
(212) 319-3977
(212) 721-0806
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
11/17/2023
Last updated
03/20/2024
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