Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 22DI02814600 | NJ |
NPI | 1093390627 |
---|---|
Provider Name | Dr. Hind El-Hammali |
First Address | Newark, NJ 07103-2495 |
Second Address | Newark, NJ 07103-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2021 |
Last Update Date | 15/03/2021 |