Individual
MOHAMMAD ABUSHANAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 CENTRAL AVE DEPT FLOORD7, NEWARK, NJ 07102-1909
(973) 877-5487
Mailing address
111 CENTRAL AVE DEPT FLOORD7, NEWARK, NJ 07102-1909
(973) 877-5487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12299700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2021
Last updated
07/29/2024
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