Individual
ISSAM MOUDED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 STATE RT 3, SUITE#105, SECAUCUS, NJ 07094-3857
(201) 865-1919
(201) 865-4022
Mailing address
255 STATE RT 3, SUITE#105, SECAUCUS, NJ 07094-3857
(201) 865-1919
(201) 865-4022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA39766
NJ
Other
Enumeration date
07/27/2006
Last updated
05/17/2026
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