Individual
DR. LAWRENCE FARID MAHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3600
(973) 748-3800
(973) 748-3540
Mailing address
329 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3600
(973) 748-3800
(973) 748-3540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04828100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060055314
RAILROAD MEDICARE
NJ
01
—
18351
US AETNA
NJ
05
—
1879901
—
NJ
01
—
223557137
BLUE SHIELD
NJ
01
—
ES442
OXFORD
NJ
01
—
OK7728
PHS
NJ
Enumeration date
07/08/2006
Last updated
06/01/2011
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