Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 54285 | CT |
N | 111NI0900X | Internist | 54285 | CT |
NPI | 1003112251 |
---|---|
Provider Name | Newaz Mohammed Hossain |
First Address | Atlantic City, NJ 08401-6713 |
Second Address | Atlantic City, NJ 08401-6713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2011 |
Last Update Date | 10/09/2015 |