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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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 1922387620 NPPES
New Jersey MEDICAID 3214605

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