Yassin, Mahmoud
Yassin, Mahmoud is an individual health care provider with primary practice located at 115 Lacey Rd , Forked River NJ 08731-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Yassin, Mahmoud can be contacted via phone (609) 971-0010.Contact Information
Primary practice address
115 Lacey Rd
Forked River NJ 08731-4235
Phone: (609) 971-0010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA04292600 | New Jersey |
Profile Details
| NPI number | 1922387620 |
|---|---|
| LBN Legal business name | Yassin, Mahmoud |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2011 |
| Last updated | Aug 11th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922387620 | NPPES |
| New Jersey | MEDICAID | 3214605 |
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