Individual
DR. MAHBOOB HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1201 MORRIS AVE, UNION, NJ 07083-3307
(908) 688-3727
(908) 688-3036
Mailing address
PO BOX 659, UNION, NJ 07083-0659
(908) 688-3727
(908) 688-3036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06574400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06574400
NJ LICENSE CERTIFICATION
NJ
05
—
7346204
—
NJ
Enumeration date
09/29/2006
Last updated
07/09/2007
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