Hamid Jack Moallem M.D.

NPI 1013992494 - Pediatrics - 2080P0201X

NPI Details
NPI 1013992494
Gender Male
Enumeration Date 12/08/2005
Last Updated 02/27/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
450 CLARKSON AVE
B4-333
BROOKLYN NY, 11203-2056, US
Phone (718) 270-4714
Fax (718) 270-1985
Business Location
450 CLARKSON AVE
BOX 1262
BROOKLYN NY, 11203-2056, US
Phone (718) 270-8867
Fax (718) 270-1794
Toxanomy
Taxonomy Code 2080P0201X
License State New York
License Number 183019-1
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According to our database, Dr. Hamid Jack Moallem M.D. NPI is 1013992494, taxonomy code is 2080P0201X and license number is 183019-1, license state is located at New York. Hamid Jack Moallem M.D. physically located at 450 Clarkson Ave, Brooklyn NY, 11203-2056. NPI Number Hamid Jack Moallem M.D. has the Individual type.

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1013992494 NPI number is provided on an as is basis without warranty of any kind. 1013992494 is maintained by the National Plan & Provider Enumeration System. The contents of Hamid Jack Moallem M.D. are for informational purposes only.