Healthcare Provider Details

I. General information

NPI: 1730355504
Provider Name (Legal Business Name): A& M MEDICAL ASSOCIATE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 RATH LN
EAST BRUNSWICK NJ
08816-2816
US

IV. Provider business mailing address

48 RATH LN
EAST BRUNSWICK NJ
08816-2816
US

V. Phone/Fax

Practice location:
  • Phone: 732-238-5495
  • Fax:
Mailing address:
  • Phone: 732-238-5495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberMA060096
License Number StateNJ

VIII. Authorized Official

Name: DR. MOHEB S. ABDELMALEK
Title or Position: OWNER
Credential: MD
Phone: 732-238-5495