| Organization Name: | JERSEY IRISH MEDICAL |
| NPI Number: | 1144575739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NADER NAGY HABIB (PRESIDENT) |
| Mailing Address: | 601 W. Union Ave. Bound Brook |
| State: | NJ US |
| Postal Code: | 08805 |
| Phone Number: | 7324693627 |
| Fax Number: | 7326673708 |
| NPI Enumeration Date: | 07/19/2012 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |