Provider Demographics
NPI:1306589478
Name:AJ MEDICAL ASSOCIATES PLC
Entity type:Organization
Organization Name:AJ MEDICAL ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:JABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-666-0000
Mailing Address - Street 1:1647 INKSTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-3086
Mailing Address - Country:US
Mailing Address - Phone:313-605-4959
Mailing Address - Fax:
Practice Address - Street 1:1647 INKSTER RD STE B
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-3086
Practice Address - Country:US
Practice Address - Phone:313-605-4959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty