Sovereign Medical Group LLC
NPI #1841589298 in Carlstadt, New Jersey
Provider Information
- NPI Number
- 1841589298
- Entity Type
- Organization
- Organization Name
- Sovereign Medical Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOVEREIGN MEDICAL GROUP LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Apr 6, 2011
- Last Updated
- Jun 9, 2011
Practice Location
- Address
- 630 BROAD ST
- City
- Carlstadt
- State
- New Jersey
- ZIP Code
- 07072-1169
- Phone
- (201) 372-1020
Authorized Official
- Name
- JOHN H HAJJAR, MD
- Title
- CEO
- Phone
- (201) 791-4544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nuclear Medicine - Nuclear Cardiology — Nuclear Cardiology |
| Nuclear Medicine - Nuclear Imaging & Therapy — Nuclear Imaging & Therapy |
| Radiology - Body Imaging — Body Imaging |
| Radiology - Neuroradiology — Neuroradiology |
| Radiology - Pediatric Radiology — Pediatric Radiology |
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
| Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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