NPI 1619046018

Midland Medical Associates, LLC

Organisation Ph.D. Medical Genetics Jersey City, NJ

Practice location

Address: 2726 Kennedy Boulevard, Jersey City, NJ 07306-5508
Phone: (201) 333-4115
Fax: (201) 333-6224

Authorised official

Name: Victor Lee Cabales
Title: Physician
Phone: (201) 333-4115

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 25MA05783300 (NJ)

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Registry record

NPI: 1619046018
Entity type: Organization
NPI issued: 7 Nov 2006
Record last updated: 14 Jul 2010

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.