Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 38MC00650500 | NJ |
NPI | 1902917768 |
---|---|
Provider Name | Dr. Mark Monir Dawoud |
First Address | Union City, NJ 07087-3421 |
Second Address | Union City, NJ 07087-3421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |