| Shamra Medical Laboratory Limited Liability Company | |
|
668 N Beers St Suite 104 Holmdel NJ 07733-1526 | |
| (732) 888-0017 | |
| (732) 888-0097 |
| Full Name | Shamra Medical Laboratory Limited Liability Company |
|---|---|
| Speciality | Internal Medicine |
| Location | 668 N Beers St, Holmdel, New Jersey |
| Authorized Official Name and Position | Ammar Bazerbashi (MEDICAL DOCTOR) |
| Authorized Official Contact | 7328880017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamra Medical Laboratory Limited Liability Company 668 N Beers St Suite 104 Holmdel NJ 07733-1526 Ph: (732) 888-0017 | Shamra Medical Laboratory Limited Liability Company 668 N Beers St Suite 104 Holmdel NJ 07733-1526 Ph: (732) 888-0017 |
| NPI Number | 1063789170 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063789170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA072160000 (New Jersey) | Primary |
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