Individual
MOHAMED ELGENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11378500
NJ
207R00000X
Internal Medicine Physician
305799
NY
207R00000X
Internal Medicine Physician
7979
NE
Other
Enumeration date
07/02/2017
Last updated
07/15/2022
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