Provider Demographics
NPI:1932572922
Name:MATERNAL RESOURCES PC
Entity Type:Organization
Organization Name:MATERNAL RESOURCES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAAKOV
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABDELHAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-487-8600
Mailing Address - Street 1:358 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1344
Mailing Address - Country:US
Mailing Address - Phone:201-487-8600
Mailing Address - Fax:201-487-8601
Practice Address - Street 1:358 BEECH ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1344
Practice Address - Country:US
Practice Address - Phone:201-487-8600
Practice Address - Fax:201-487-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA70956174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty