Provider Demographics
NPI:1265661151
Name:AMEL BADR, M.D., P.C.
Entity Type:Organization
Organization Name:AMEL BADR, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BADR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-310-1007
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-0307
Mailing Address - Country:US
Mailing Address - Phone:201-310-1007
Mailing Address - Fax:201-843-8200
Practice Address - Street 1:50 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-4843
Practice Address - Country:US
Practice Address - Phone:201-310-1007
Practice Address - Fax:201-843-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08326600261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty