Diagnosis Center of Excellence
NPI #1174856595 in Jersey City, New Jersey
Provider Information
- NPI Number
- 1174856595
- Entity Type
- Organization
- Organization Name
- Diagnosis Center of Excellence
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 16, 2009
- Last Updated
- Oct 23, 2009
Practice Location
- Address
- 575 LIBERTY AVE
- City
- Jersey City
- State
- New Jersey
- ZIP Code
- 07307-3910
- Phone
- (201) 424-4847
Authorized Official
- Name
- MR. WAFIK FAKHOURI, TECHNICIAN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (201) 424-4847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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