Provider Demographics
NPI:1306087853
Name:UMDNJ-NJ SCHOOL OF MEDICINE
Entity type:Organization
Organization Name:UMDNJ-NJ SCHOOL OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGY RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AHDY
Authorized Official - Middle Name:AMIN
Authorized Official - Last Name:NASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-413-0328
Mailing Address - Street 1:127 OLD SHORT HILLS RD
Mailing Address - Street 2:APT 150
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1014
Mailing Address - Country:US
Mailing Address - Phone:347-413-0328
Mailing Address - Fax:
Practice Address - Street 1:185 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2757
Practice Address - Country:US
Practice Address - Phone:347-413-0328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access