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1184095754
SOVEREIGN MEDICAL GROUP, LLC
JERSEY CITY, NJ
NPI
1184095754
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Entity Type
Organization
Authorized Contact
JOHN HAJJAR
Owner
201-855-8302
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
SOVEREIGN MEDICAL GROUP, LLC
631 GRAND ST SUITE 2-400
JERSEY CITY, NJ 07304-3451
Phone number: 201-636-6784
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Mailing Address
SOVEREIGN MEDICAL GROUP, LLC
85 HARRISTOWN RD 2ND FLOOR
GLEN ROCK, NJ 07452-3329
Phone number: 201-855-8301
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