Individual
OMAR MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
6411 136TH ST, FLUSHING, NY 11367-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11973800
NJ
Other
Enumeration date
04/08/2020
Last updated
10/04/2023
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