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Individual

MALIK DEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8651
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA04609300
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04609300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220023999
RAILROAD MEDICARE PTAN
NJ
05
6542204
NJ
Enumeration date
11/22/2006
Last updated
03/20/2017
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