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NPI Code Detail

MEDICARE: MONTCLAIR EMERGENCY PHYSICIANS LLC

MEDICARE: MONTCLAIR EMERGENCY PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1851979470
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTCLAIR EMERGENCY PHYSICIANS LLC
Provider Business Mailing Address
First Line : PO BOX 7811146
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-1146
Country : US
Telephone Number : 954-939-5000
Fax Number : 484-342-5201
Provider Business Practice Location Address
First Line : 1 BAY AVE
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-4837
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : OWNER
Name : FAREED NABIEL FAREED
Credential :
Telephone Number : 917-854-8007
Provider Enumeration Date : 04/02/2021
Last Update Date : 04/14/2026

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Directions to “MONTCLAIR EMERGENCY PHYSICIANS LLC ” Practice Location

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