Individual
HESHAM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7920
(732) 235-7079
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101243802
VA
208600000X
Surgery Physician
25MA08635100
NJ
2086S0102X
Surgical Critical Care Physician
Primary
25MA08635100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217433
—
NJ
01
—
P00953260
RR MCR PTAN
NJ
Enumeration date
10/16/2007
Last updated
09/21/2011
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