Individual
ANAS M MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2022
Mailing address
21 N 11TH ST, HAWTHORNE, NJ 07506-3810
(732) 267-9303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036167496
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2021
Last updated
07/31/2024
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