Sovereign Medical Group, LLC
NPI #1073984654 in Carlstadt, New Jersey
Provider Information
- NPI Number
- 1073984654
- Entity Type
- Organization
- Organization Name
- Sovereign Medical Group, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 8, 2015
- Last Updated
- Oct 8, 2015
Practice Location
- Address
- 630 BROAD ST
- Address 2
- SUITE 2B
- City
- Carlstadt
- State
- New Jersey
- ZIP Code
- 07072-1169
- Phone
- (201) 355-1700
Authorized Official
- Name
- DR. JOHN HAJJAR, M.D.
- Title
- OWNER
- Phone
- (201) 855-8302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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