Individual
DR. HASEEB MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST # B829, NEWARK, NJ 07103-2495
(973) 850-9665
Mailing address
110 BERGEN ST # B829, NEWARK, NJ 07103-2495
(973) 850-9665
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
22DI02578700
NJ
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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