NPI 1407153802

Dr.Riad Kabakibi

Organisation Exclusive Provider Organization Secaucus, NJ

Practice location

Address: 255 Route 3 Suite 206a, Secaucus, NJ 07094-3857
Phone: (201) 867-6677
Fax: (201) 520-0316

Authorised official

Name: Lama Kabakibi
Title: Office Manager
Phone: (201) 867-6677

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MA04332 (NJ)

Other Exclusive Provider Organization providers in New Jersey →

Registry record

NPI: 1407153802
Entity type: Organization
NPI issued: 21 Feb 2011
Record last updated: 21 Feb 2011

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.