Islam, Mohammed Nazrul

Islam, Mohammed Nazrul is an individual health care provider with primary practice located at 243 Pine St , Mount Holly NJ 08060-2201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Islam, Mohammed Nazrul can be contacted via phone (609) 267-1550.

Contact Information

Primary practice address
243 Pine St Mount Holly NJ 08060-2201
Phone: (609) 267-1550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA07918000 New Jersey
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 25MA07918000 New Jersey

Profile Details

NPI number 1558472977
LBN Legal business name Islam, Mohammed Nazrul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 24th, 2020 - about 5 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 1558472977 NPPES
New Jersey MEDICAID 0083577

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