Sovereign Medical Group, LLC

NPI #1316317787 in Paterson, New Jersey

Provider Information

NPI Number
1316317787
Entity Type
Organization
Organization Name
Sovereign Medical Group, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 29, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
265 E 33RD ST
ZIP Code
07504-1668
Phone
(973) 684-1011

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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