Individual
MS. FAHMIDA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8504
Mailing address
1 ROBERT WOOD JOHNSON PLACE, MEB 342, NEW BRUNSWICK, NJ 08901
(732) 235-7044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11104500
NJ
208000000X
Pediatrics Physician
Primary
295374
NY
Other
Enumeration date
03/27/2016
Last updated
06/27/2024
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