Provider Demographics
NPI:1023545142
Name:HUDSON INTERNAL MEDICINE OF JERSEY CITY
Entity Type:Organization
Organization Name:HUDSON INTERNAL MEDICINE OF JERSEY CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-432-5744
Mailing Address - Street 1:8 JORDAN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3386
Mailing Address - Country:US
Mailing Address - Phone:201-432-5744
Mailing Address - Fax:201-432-2720
Practice Address - Street 1:1971 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1433
Practice Address - Country:US
Practice Address - Phone:201-432-5222
Practice Address - Fax:204-432-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06435800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty