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Individual

DR. PARVEZ MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 HOSPITAL DR, SUITE 15, TOMS RIVER, NJ 08755-6434
(732) 286-6644
(732) 286-9321
Mailing address
20 HOSPITAL DR, SUITE 15, TOMS RIVER, NJ 08755-6434
(732) 286-6644
(732) 286-9321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02823000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0950106
NJ
01
222843719
TAX ID
NJ
01
31D0715825
CLIA
NJ
01
534044BD9
MEDICARE ID
NJ
Enumeration date
07/07/2005
Last updated
09/20/2007
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