Provider Demographics
NPI:1457446056
Name:AL-DULAIMI, HAMSA (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMSA
Middle Name:
Last Name:AL-DULAIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 KETCH ROAD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-292-0309
Mailing Address - Fax:973-292-3906
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:MORRISTOWN MEMORIAL HOSPITAL, DEPT OF PATHOLOGY
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5600
Practice Address - Fax:973-290-7370
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06594600207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7689209Medicaid
NJ017129BZTMedicare ID - Type Unspecified
NJ7689209Medicaid