South Orange Village Medical Group, Llc

LBN: South Orange Village Medical Group, Llc
South Orange Village Medical Group, Llc is an health care organization with primary practice located at 483 S Orange Ave , South Orange NJ 07079-2642. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Orange Village Medical Group, Llc can be contacted via phone (973) 638-1634, or through Hessein, Amgad via phone (973) 638-1634.

Contact Information

Primary practice address
483 S Orange Ave South Orange NJ 07079-2642
Phone: (973) 638-1634
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hessein, Amgad Doctor of Medicine (MD)
Phone: (973) 638-1634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1164716544
LBN Legal business name South Orange Village Medical Group, Llc
DBA Doing business as
Authorized official Hessein, Amgad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2011
Last updated Jun 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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