Individual
DR. AHMED HISHAM KHALEEL SAMMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE STREET, DEPARTMENT OF MEDICINE, ENGLEWOOD, NJ 07631
(201) 894-3143
Mailing address
350 ENGLE ST DEPT OF, ENGLEWOOD, NJ 07631-1808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30443
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2018
Last updated
08/04/2021
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