Individual
MAHBOOB U RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, ROOM/FLOOR 5200A, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7217
Mailing address
PO BOX 2697, VINELAND, NJ 08362-2697
(856) 794-9090
(856) 794-3058
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA06184100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013937650001
—
PA
Enumeration date
06/29/2006
Last updated
06/24/2021
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