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Individual

DR. AHMAD M QATANANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-9150
Mailing address
151 DERROM AVE, PATERSON, NJ 07504-1034

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB12028400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
NJ

Other

Enumeration date
05/02/2020
Last updated
10/24/2023
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