Individual
MOHAMMAD RAFIC AL-AJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 POLY PL, PULMONARY DIVISION RM 13-105, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
800 POLY PLACE, BROOKLYN, NY 11209
(718) 630-3722
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD436001
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD436001
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD436001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270260
MEDICAL LICENSE
NY
01
—
MD436001
LICENSE
PA
Enumeration date
08/30/2006
Last updated
02/18/2014
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