Individual
DR. SAMIR ISA ABDELHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
103 RIVER RD, STE 101, EDGEWATER, NJ 07020-1016
(201) 308-8995
Mailing address
103 RIVER RD, STE 101, EDGEWATER, NJ 07020-1016
(973) 972-6111
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB08398600
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB08398600
NJ
Other
Enumeration date
12/20/2007
Last updated
01/08/2020
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