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Individual

DR. MOHAMMED ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
RBMC 530 NEW BRUNSWICK AVE, DEPT OF INTERNAL MEDICINE, PERTH AMBOY, NJ 08861
(732) 324-5080
(732) 324-4669
Mailing address
1808 PLAZA DR, WOODBRIDGE, NJ 07095-1127
(732) 675-1035
(732) 324-4669

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35847
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01004682204
AMERICHOICE (MIDDLESEX)
NJ
05
0170241
NJ
05
129026
AZ
01
P00800130
RR MEDICARE
NJ
Enumeration date
08/11/2006
Last updated
05/30/2018
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