Organization
MEDHAT ISMAIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDHAT ISMAIL MD (OWNER)
(973) 790-3433
Entity
Organization
Contact information
Practice address
246 HAMBURG TPKE, SUITE 208, WAYNE, NJ 07470-2156
(973) 790-3433
Mailing address
27 ALMADERA DR, WAYNE, NJ 07470-2471
(973) 790-3433
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA61414
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6738109
—
NJ
Enumeration date
05/25/2006
Last updated
10/14/2008
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