M M Medical Associates LLC
Internal Medicine in Hawthorne, NJ. Organization (NPI-2).
NPI number1427257583
StatusActive
Last updated in NPPESMar 21, 2008
Details
- NPI
- 1427257583
- Entity type
- Organization (NPI-2)
- Legal business name
- M M Medical Associates LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Mar 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25ma07839900 | NJ | Yes |
Practice location
29 Mountain AveHawthorne, NJ 07506-3309
Phone 973-458-0114 · Fax 973-458-0661
Mailing address
Po Box 1217Clifton, NJ 07012-0717
Phone 973-458-0114 · Fax 973-458-0661
Authorized official
Mourad Ismail
Owner
9734580114
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