Organization
MAGED M GERGES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGED M GERGES MD (PRESIDENT)
(908) 626-9165
Entity
Organization
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2500
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2500
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
25MA07378500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959404
—
NJ
Enumeration date
06/01/2016
Last updated
06/01/2016
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