Individual
DR. BANAN MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
190 CHRISTOPHER COLUMBUS DR # 5C, JERSEY CITY, NJ 07302
(347) 709-2205
Mailing address
259 KING GEORGE RD, WARREN, NJ 07059-5131
(708) 537-4509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00751100
NJ
Other
Enumeration date
03/19/2018
Last updated
11/12/2018
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