Provider Demographics
NPI:1124377981
Name:MAGA MEDICAL LLC
Entity Type:Organization
Organization Name:MAGA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GALPERIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-791-7760
Mailing Address - Street 1:PO BOX 2701
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-8601
Mailing Address - Country:US
Mailing Address - Phone:201-791-7760
Mailing Address - Fax:201-791-7746
Practice Address - Street 1:5 TOBOGGAN RIDGE RD
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-2521
Practice Address - Country:US
Practice Address - Phone:201-791-7760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty