Individual
DR. MOATAZ M HASSAN RAGHEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2008
(551) 996-5729
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4450
(551) 996-5729
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101249647
VA
2084P0800X
Psychiatry Physician
Primary
25MA11644600
NJ
2084P0800X
Psychiatry Physician
Primary
Q9887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7056475
MEDICARE
—
05
—
7056475
—
RI
Enumeration date
11/22/2005
Last updated
04/13/2026
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