Individual
MR. OMAR BASSAM FRAIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-5432
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263984
NY
208M00000X
Hospitalist Physician
Primary
263984
NY
Other
Enumeration date
06/04/2008
Last updated
06/30/2023
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