Individual
MR. MAMDOH MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(609) 631-6839
Mailing address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(609) 631-6839
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00274800
NJ
Other
Enumeration date
09/24/2009
Last updated
06/02/2023
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