| 893 Medical LLC | |
|
5 Summit Ave Ste 106 Hackensack NJ 07601-1271 | |
| (201) 212-5733 | |
| Not Available |
| Full Name | 893 Medical LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Summit Ave Ste 106, Hackensack, New Jersey |
| Authorized Official Name and Position | Brandon Trevor Howard (MEMBER) |
| Authorized Official Contact | 2012125733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 893 Medical LLC 5 Summit Ave Ste 106 Hackensack NJ 07601-1271 Ph: (201) 212-5733 | 893 Medical LLC 5 Summit Ave Ste 106 Hackensack NJ 07601-1271 Ph: (201) 212-5733 |
| NPI Number | 1043117021 |
|---|---|
| Provider Enumeration Date | 10/22/2026 |
| Last Update Date | 10/22/2026 |
| Certification Date | 10/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043117021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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