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Individual

DR. MHD HICHAM ALNACHAWATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
2960 VICTORY BLVD, STATEN ISLAND, NY 10314-6605
(718) 370-2014
Mailing address
50 STATE RT 5, FORT LEE, NJ 07024-6323
(617) 699-2025

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
255649
NY
2083X0100X
Occupational Medicine Physician
25MA09427600
NJ
208D00000X
General Practice Physician
255649
NY
208D00000X
General Practice Physician
25MA09427600
NJ
208D00000X
General Practice Physician
4301093387
MI

Other

Enumeration date
09/13/2007
Last updated
03/09/2023
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