Al-Bashir, Mohamed Fahmi

Al-Bashir, Mohamed Fahmi is an individual health care provider with primary practice located at 550 Newark Ave Suite 200, Jersey City NJ 07306-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Al-Bashir, Mohamed Fahmi can be contacted via phone (201) 795-9155.

Contact Information

Primary practice address
550 Newark Ave Suite 200 Jersey City NJ 07306-1326
Phone: (201) 795-9155
Fax: (201) 795-9157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 72291 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 215854 New York

Profile Details

NPI number 1174515761
LBN Legal business name Al-Bashir, Mohamed Fahmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174515761 NPPES
New York MEDICAID 02316163
New York MEDICAID 8578401

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