Individual
DANIEL GHULAMMOHD CONTRACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 WILLOW AVENUE, HOBOKEN, NJ 07030
(201) 418-1820
(201) 418-1822
Mailing address
1126 S 70TH STREET, SUITE N500, MILWAUKEE, WI 53214
(414) 455-4780
(414) 475-2936
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1994021
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07122200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01884275
—
NY
05
—
8311609
—
NJ
Enumeration date
07/26/2006
Last updated
03/21/2008
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