Individual
MOHAMMED NAZRUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 PINE ST, MOUNT HOLLY, NJ 08060-2201
(609) 267-1550
Mailing address
23 ANNAPOLIS DR, MARLTON, NJ 08053-3833
(267) 779-5239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA07918000
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA07918000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083577
—
NJ
Enumeration date
08/31/2006
Last updated
08/24/2020
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