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Individual

HISHAM MOHAMED HAMZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
558 COMMONS WAY, BUILDING E, TOMS RIVER, NJ 08755-6432
(732) 736-0110
(732) 736-0990
Mailing address
196 EDGEMERE CT, TOMS RIVER, NJ 08755-0933
(732) 914-0477

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07144300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8352909
NJ
Enumeration date
08/26/2006
Last updated
07/08/2007
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