Individual
ADAM MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 NEW ST, ORANGE, NJ 07050-3612
(862) 224-1204
Mailing address
19 BIRCH ST, WEST ORANGE, NJ 07052-4533
(862) 224-1204
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
574269
NJ
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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