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Individual

MADASER SALEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11015100
NJ
207R00000X
Internal Medicine Physician
C2-0024119
DE
208D00000X
General Practice Physician
25MB11015100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0970271
NJ
Enumeration date
06/04/2018
Last updated
05/30/2024
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