Organization
MAHMOODAH PERVEEN,MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOODAH PERVEEN MD (PRESIDENT)
(732) 656-4539
Entity
Organization
Contact information
Practice address
534 AVENUE E, BAYONNE, NJ 07002-3987
(201) 858-8700
(732) 879-0304
Mailing address
PO BOX 459, ISELIN, NJ 08830-0459
(732) 202-8847
(732) 879-0304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06978000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8033803
—
NJ
Enumeration date
02/21/2007
Last updated
10/31/2007
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