One Oak Medical Group, LLC
Specialist in Clifton, NJ. Organization (NPI-2).
NPI number1831735166
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1831735166
- Entity type
- Organization (NPI-2)
- Legal business name
- One Oak Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2019
- Certification date
- Sep 17, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Other names
- One Oak Medical Group, LLC (Doing Business As)
Practice location
905 Allwood RdClifton, NJ 07012-1945
Phone 973-870-7777
Mailing address
905 Allwood RoadClifton, NJ 07012
Authorized official
Faisal Mahmood
Owner Of Practice
9738700777
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