Provider Demographics
NPI:1326791906
Name:MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Entity type:Organization
Organization Name:MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAFFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-894-3012
Mailing Address - Street 1:PO BOX 14564
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4038
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 JOURNAL SQUARE PLAZA
Practice Address - Street 2:SUITE A
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4001
Practice Address - Country:US
Practice Address - Phone:551-325-2333
Practice Address - Fax:201-568-6532
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-02
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty