Provider Demographics
NPI:1093446874
Name:EL HAJJ, MAHMOUD (MD)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:
Last Name:EL HAJJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 DUBOIS STREET
Mailing Address - Street 2:MONTEFIORE ST LUKES CORNWALL
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12553
Mailing Address - Country:US
Mailing Address - Phone:845-458-4883
Mailing Address - Fax:845-784-3960
Practice Address - Street 1:70 DUBOIS STREET
Practice Address - Street 2:MONTEFIORE ST LUKES CORNWALL
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12553
Practice Address - Country:US
Practice Address - Phone:845-458-4883
Practice Address - Fax:845-784-3960
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program