Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB09693800 | NJ |
N | 208D00000X | General Practice Physician | 25MB09693800 | NJ |
NPI | 1013205400 |
---|---|
Provider Name | Dr. Ekram M Mohsen |
First Address | Hackensack, NJ 07601-1915 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2011 |
Last Update Date | 21/11/2021 |