Individual
AMANDA MOUKDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 COLUMBIA AVE, NORTH BERGEN, NJ 07047-5696
(201) 422-3111
(201) 422-3113
Mailing address
6725 COLUMBIA AVE, NORTH BERGEN, NJ 07047-5696
(201) 422-3111
(201) 422-3113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11383300
NJ
207R00000X
Internal Medicine Physician
312667
NY
208M00000X
Hospitalist Physician
312667
NY
Other
Enumeration date
05/22/2019
Last updated
04/06/2026
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