Provider Demographics
NPI:1134313745
Name:ABDEL-MEGID, AHMED M (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:M
Last Name:ABDEL-MEGID
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 1:56 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2000
Mailing Address - Country:US
Mailing Address - Phone:908-722-5380
Mailing Address - Fax:908-685-7501
Practice Address - Street 1:56 UNION AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2000
Practice Address - Country:US
Practice Address - Phone:908-722-5380
Practice Address - Fax:908-685-7501
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08258500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine