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Individual

DR. GAMMAL A HASSANIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 523-4000
Mailing address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 523-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08213400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00423400
RAILROAD MEDICARE
NJ
Enumeration date
06/11/2007
Last updated
01/12/2012
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