Individual
MOHAMED HASSAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
554 BLOOMFIELD AVE, SUITE 3D, BLOOMFIELD, NJ 07003
(973) 703-8202
(973) 259-1315
Mailing address
554 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-3307
(973) 703-8202
(973) 259-1315
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7650205
—
NJ
Enumeration date
04/18/2007
Last updated
07/09/2007
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