Individual
MOH'D HAZEM AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2476
Mailing address
904 DEAL RD, APT 7, OCEAN, NJ 07712
(732) 997-9135
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA09470000
NJ
207RP1001X
Pulmonary Disease Physician
25MA09470000
NJ
Other
Enumeration date
08/05/2011
Last updated
10/09/2018
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