SOVEREIGN MEDICAL GROUP LLC

ORADELL, NJ
NPI1710282082
Entity TypeOrganization
Authorized ContactJOHN H. HAJJAR
CEO
201-834-1100
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Additional Taxonomies207R00000X Internal Medicine
207RG0100X Internal Medicine Gastroenterology
207V00000X Obstetrics & Gynecology
207ZC0006X Pathology Clinical Pathology
2085D0003X Radiology Diagnostic Neuroimaging
2085N0700X Radiology Neuroradiology
2085R0001X Radiology Radiation Oncology
2085R0202X Radiology Diagnostic Radiology
2085R0204X Radiology Vascular & Interventional Radiology
2085U0001X Radiology Diagnostic Ultrasound
208600000X Surgery
2088P0231X Urology Pediatric Urology
208C00000X Colon & Rectal Surgery
291U00000X Clinical Medical Laboratory
Enumeration Date2011-01-18
Last Update Date2023-09-12
Business Address
SOVEREIGN MEDICAL GROUP LLC
680 KINDERKAMACK RD 3RD FLOOR SUITE 300
ORADELL, NJ 07649-1600
Phone number: 201-621-0858
Mailing Address
SOVEREIGN MEDICAL GROUP LLC
680 KINDERKAMACK RD SUITE 300 3RD FLOOR
ORADELL, NJ 07649-1600
Phone number: 201-834-1100
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