SOVEREIGN MEDICAL GROUP LLC

FAIR LAWN, NJ
NPI1205125655
Doing Business AsUROLOGY SPECIALTLY CARE PA
Entity TypeOrganization
Authorized ContactJOHN H HAJJAR
Owner
201-791-4544
Organization Subpart ?Yes
Primary Taxonomy208800000X Urology
Additional Taxonomies207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
207ZC0006X Pathology, Clinical Pathology
2085R0001X Radiology, Radiation Oncology
2085R0202X Radiology, Diagnostic Radiology
2088P0231X 
Enumeration Date2011-04-06
Last Update Date2018-05-31
Business Address
SOVEREIGN MEDICAL GROUP LLC
15-01 BROADWAY SUITE 1 & 3
FAIR LAWN, NJ 07410
Phone number: 201-791-4544
Mailing Address
SOVEREIGN MEDICAL GROUP LLC
85 HARRISTOWN RD FL 2
GLEN ROCK, NJ 07452-3329
Phone number: 201-855-8446