Individual
DR. MOHAMED FAZAL RAHAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
860 US HIGHWAY 1, SUITE 4, EDISON, NJ 08817-4687
(732) 737-7395
(848) 260-0818
Mailing address
860 US HIGHWAY 1, SUITE 4, EDISON, NJ 08817-4687
(732) 737-7395
(848) 260-0818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00477300
NJ
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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