Individual
KAMEL MUNTHER MASSARWEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
841 MAIN ST APT C, BELLEVILLE, NJ 07109-3435
(201) 693-2338
Mailing address
10450 LILAC LN APT 1125, FORT WAYNE, IN 46825-2788
(201) 693-2338
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
01077948
IN
208M00000X
Hospitalist Physician
Primary
01077948A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2014
Last updated
07/07/2022
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