Provider Demographics
NPI:1235164716
Name:HOSEIN, FAREEDA AISHA (MD)
Entity Type:Individual
Prefix:DR
First Name:FAREEDA
Middle Name:AISHA
Last Name:HOSEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-586-7900
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:1 HAMILTON HEALTH PLACE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-586-7900
Practice Address - Fax:732-212-0713
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01893207R00000X
NJ25MA08429200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0228133Medicaid
NC5905667Medicaid
NC5905667Medicaid
NJ0228133Medicaid
MAHO7306Medicare UPIN