AVICENNA MEDICAL GROUP, LLC
Mental Health at Eagle Rock Ave, Town Center, NJ

License number
New Jersey 25MB07627000
Category
Mental Health
Type
Mental Health
Owner
Name: MR. FADI SAMAAN MBA, MS
Title: MANAGER
Phone: (646) 464-3110
Address
Address
414 Eagle Rock Ave SUITE 307, Town Center, NJ 07052
National Provider ID: 1194067959
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AVICENNA MEDICAL GROUP, LLC at bizstanding.com

AVICENNA MEDICAL GROUP LIMITED LIABILITY COMPANY

West Orange, NJ

Registration:
Mar 6, 2013
State ID:
0400555237
Business type:
LLC

Avicenna Medical Group LLC

414 Eagle Rock Ave, Town Center, NJ 07052

Status:
Inactive
Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors, N
Principals:
Fadi Samaan (Manager),Anna Rossi (Principal)

Mental Health licenses in New Jersey










Other Doctors licenses in New Jersey