Individual
DR. MOHAMED ASEM TANTAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 SUMMIT AVE, HACKENSACK PEDIATRICS, HACKENSACK, NJ 07601-1311
(201) 487-8222
(201) 487-2126
Mailing address
177 SUMMIT AVE, 3RD FLOOR, HACKENSACK, NJ 07601-1311
(201) 487-6487
(201) 487-2126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA76601
NJ
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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