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Individual

DR. TALAT Y HMOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 589-1300
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(732) 212-0060
(732) 212-0061

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06150500
NJ
207R00000X
Internal Medicine Physician
25MA06150500
NJ
208D00000X
General Practice Physician
25MA06150500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7061200
NJ
01
91001494200
AMERICHOICE
NJ
Enumeration date
08/19/2005
Last updated
01/30/2009
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