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Individual

DR. MOHAMED FAHMI AL-BASHIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 NEWARK AVE, SUITE 200, JERSEY CITY, NJ 07306-1326
(201) 795-9155
(201) 795-9157
Mailing address
517 68TH ST, BROOKLYN, NY 11220-6003
(718) 986-7734
(201) 795-9157

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
215854
NY
208600000X
Surgery Physician
Primary
72291
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02316163
NY
05
8578401
NJ
Enumeration date
08/18/2005
Last updated
07/08/2007
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