| NPI | 1467782904 |
|---|---|
| Doing Business As | MGM MEDIC, PC |
| Entity Type | Organization |
| Authorized Contact | BASSEM G HANNA Director 203-524-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA087883900) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2011-05-27 |