Individual
DR. MAHMOUD LOGHMAN-ADHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 KINGSLAND ST, NUTLEY, NJ 07110-1150
(973) 562-2127
(908) 647-1082
Mailing address
340 KINGSLAND ST, NUTLEY, NJ 07110-1150
(973) 562-2127
(908) 647-1082
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
176291-1205
UT
2080P0210X
Pediatric Nephrology Physician
Primary
25MA07629100
NJ
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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