Individual
ABDIRAHMAN HASSAN SHAFAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(862) 333-4700
Mailing address
6319 N RIDGE AVE, CHICAGO, IL 60660-1016
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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