Individual
AHMED MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
20 PROSPECT AVE STE 406, HACKENSACK, NJ 07601-1941
(551) 996-2608
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NR25092600
NJ
Other
Enumeration date
12/19/2023
Last updated
11/14/2024
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