Individual
MAHMUD BANGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5728
(201) 794-3256
(201) 794-6457
Mailing address
10-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5728
(201) 794-3256
(201) 794-6457
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
024765
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
024765
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2670909
—
NJ
Enumeration date
10/02/2006
Last updated
11/05/2008
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