Provider Demographics
NPI:1275596355
Name:SOLIMAN, HESHAM S (MD)
Entity Type:Individual
Prefix:
First Name:HESHAM
Middle Name:S
Last Name:SOLIMAN
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 1:2400 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1951
Mailing Address - Country:US
Mailing Address - Phone:609-587-4778
Mailing Address - Fax:609-587-1202
Practice Address - Street 1:2400 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1951
Practice Address - Country:US
Practice Address - Phone:609-587-4778
Practice Address - Fax:609-587-1202
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56944207RI0200X
NJ25MA05694400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5579902Medicaid
NJF69920Medicare UPIN
NJ802894SNSMedicare PIN
NJS579902Medicaid