Individual
MASIHUDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4695
(201) 858-5000
Mailing address
29 E 29TH ST, BAYONNE, NJ 07002-4695
(774) 210-2167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
318397
NY
208D00000X
General Practice Physician
318397
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
11/15/2022
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