Victory Medical Clinic LLC
NPI #1013367465 in Hackettstown, New Jersey
Provider Information
- NPI Number
- 1013367465
- Entity Type
- Organization
- Organization Name
- Victory Medical Clinic LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 16, 2016
- Last Updated
- Jun 16, 2016
Practice Location
- Address
- 433 SAND SHORE RD
- City
- Hackettstown
- State
- New Jersey
- ZIP Code
- 07840-5504
- Phone
- (862) 254-2299
Authorized Official
- Name
- AUGUSTINE OKPALA, MD
- Title
- HEALTHCARE PROFESSIONAL
- Phone
- (862) 254-2299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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