Individual
MOHAMMAD A HAFIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 HIGHWAY 37, TOMS RIVER, NJ 08755-6423
(732) 240-8000
Mailing address
PO BOX 60100, CHARLESTON, SC 29419-0100
(732) 557-8141
(732) 557-8933
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA60006
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0690052000
AMERIHEALTH
—
01
—
1066807
MHP
—
01
—
220018673
RRM
—
01
—
5713594
GHI
—
05
—
6045405
—
NJ
Enumeration date
05/12/2006
Last updated
11/08/2010
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