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1154988897
BISSALAM MEDICAL LLC
BRONX, NY
NPI
1154988897
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Entity Type
Organization
Authorized Contact
LUQMAN O SALAHUDEEN
Physician
347-299-7967
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
BISSALAM MEDICAL LLC
3391 3RD AVE STE 1
BRONX, NY 10456-5355
Phone number: 347-299-7967
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Mailing Address
BISSALAM MEDICAL LLC
PO BOX 783
BRONX, NY 10456-0525
Phone number: 347-299-7967
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