| Sovereign Medical Group Llc | |
|
15-01 Broadway Suite 1 & 3 Fair Lawn NJ 07410 | |
| (201) 791-4544 | |
| (201) 794-6970 |
| Full Name | Sovereign Medical Group Llc |
|---|---|
| Speciality | Urology |
| Location | 15-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | John H Hajjar (OWNER) |
| Authorized Official Contact | 2017914544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Medical Group Llc 85 Harristown Rd Fl 2 Glen Rock NJ 07452-3329 Ph: (201) 855-8446 | Sovereign Medical Group Llc 15-01 Broadway Suite 1 & 3 Fair Lawn NJ 07410 Ph: (201) 791-4544 |
| NPI Number | 1205125655 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205125655 | NPI | - | NPPES |
| 7586205 | Medicaid | NJ |
Marvin Wisch Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-796-3171 Fax: 201-796-8022 | |
North Jersey Diabetes & Endocrinology, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24-07 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-4600 Fax: 201-796-4666 | |
Bergen Endocrinology, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12-04 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-773-8710 Fax: 201-773-8711 | |
Imedical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-01 Broadway, Suite 32, Fair Lawn, NJ 07410 Phone: 201-791-6434 Fax: 201-791-6446 | |
Primary Care Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20-19 Fair Lawn Ave, Fair Lawn, NJ 07140 Phone: 201-797-2003 | |
Primary Care Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20-19 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-797-2003 Fax: 201-797-7003 | |
Ritesh Kalra Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-01 Broadway Ste 8, Fair Lawn, NJ 07410 Phone: 201-796-8060 Fax: 201-796-8070 |