Individual
AHMED ABDELMONEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 LYONS AVE # F4, NEWARK, NJ 07112-2027
(718) 818-9739
(973) 926-2997
Mailing address
6 FALCON CT, OLD BRIDGE, NJ 08857-2794
(917) 657-8020
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MP00552300
NJ
363A00000X
Physician Assistant
25MP00552300
NJ
363AS0400X
Surgical Physician Assistant
024401
NY
Other
Enumeration date
06/23/2019
Last updated
05/06/2022
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