Provider Demographics
NPI:1215637129
Name:EXCEL PRIMARY AND SPECIALTY CARE PC
Entity type:Organization
Organization Name:EXCEL PRIMARY AND SPECIALTY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-705-3015
Mailing Address - Street 1:11 OAK ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4329
Mailing Address - Country:US
Mailing Address - Phone:201-705-3015
Mailing Address - Fax:201-705-3015
Practice Address - Street 1:3279 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3418
Practice Address - Country:US
Practice Address - Phone:201-705-3015
Practice Address - Fax:201-710-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty