| Riverside Medical, LLC | |
|
714 10th St Secaucus NJ 07094-2921 | |
| (201) 863-3346 | |
| (201) 863-5251 |
| Full Name | Riverside Medical, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 10th St, Secaucus, New Jersey |
| Authorized Official Name and Position | Azzam Abu Baker (PRESIDENT) |
| Authorized Official Contact | 2018633346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Medical, LLC 714 10th St Secaucus NJ 07094-2921 Ph: (201) 863-3346 | Riverside Medical, LLC 714 10th St Secaucus NJ 07094-2921 Ph: (201) 863-3346 |
| NPI Number | 1467694356 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467694356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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