St. Anthony Medical Lab
NPI #1619422862 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1619422862
- Entity Type
- Organization
- Organization Name
- St. Anthony Medical Lab
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 17, 2016
- Last Updated
- Aug 17, 2016
Practice Location
- Address
- 654 AVENUE C
- Address 2
- SUITE 303
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-3899
- Phone
- (201) 436-0033
Authorized Official
- Name
- JOSEPH IBRAHIM, MD
- Title
- OWNER
- Phone
- (201) 779-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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