Provider Demographics
NPI:1346632262
Name:RJ MEDICAL & URGENT CARE, PLLC
Entity Type:Organization
Organization Name:RJ MEDICAL & URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GETAW
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD, FACEP
Authorized Official - Phone:718-680-6006
Mailing Address - Street 1:464 BAY RIDGE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5906
Mailing Address - Country:US
Mailing Address - Phone:718-680-6006
Mailing Address - Fax:
Practice Address - Street 1:464 BAY RIDGE AVE STE A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5906
Practice Address - Country:US
Practice Address - Phone:718-680-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty