Healthcare Provider Details
I. General information
NPI: 1780791723
Provider Name (Legal Business Name): SESSINE NAJJAR MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2006
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
975 CLIFTON AVE
CLIFTON NJ
07013-2722
US
IV. Provider business mailing address
975 CLIFTON AVE STE 2
CLIFTON NJ
07013-2722
US
V. Phone/Fax
- Phone: 973-778-8666
- Fax: 973-778-7559
- Phone: 973-778-8666
- Fax: 973-778-7559
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | 25MA03433300 |
| License Number State | NJ |
VIII. Authorized Official
Name:
ELLEN
NAJJAR
Title or Position: MANAGER
Credential:
Phone: 973-778-8666