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Contact Information

PREMIER OB/GYN LLC
135 BLOOMFIELD AVE
SUITE L
BLOOMFIELD, NJ07003-5902
 Phone: 973-429-2209
 Fax: 973-429-2210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PREMIER OB/GYN LLC

NPI Number 1336313113
LBN Legal business name PREMIER OB/GYN LLC
Authorized official DECCA MOHAMMED - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2008
Last updated 04/06/2011 - About 15 years ago
Identifiers
NJ License # 25MA07375800
NJ Medicaid 0002453
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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