Whalio Doctors

NPI 1073981361

Prevention Clinics LLC

Organisation Primary Care Clinic/Center Clifton, NJ

Practice location

Address
1033 Route 46 STE G1, Clifton, NJ 07013-2448
Phone
(973) 777-3711
Fax
(973) 472-3938

Authorised official

Name
Maged T Boutros
Title
Owner
Phone
(973) 777-3711

Registered specialties (2)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 25MA08097300 (NJ)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25MA08097300 (NJ)

Registry record

NPI
1073981361
Entity type
Organization
NPI issued
3 Sep 2015
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.