Provider Demographics
NPI:1467065573
Name:MUHAMMAD, FATIMAH
Entity Type:Individual
Prefix:
First Name:FATIMAH
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 S MUNN AVE APT 914
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-4300
Mailing Address - Country:US
Mailing Address - Phone:816-522-5514
Mailing Address - Fax:347-343-2890
Practice Address - Street 1:70 S MUNN AVE APT 914
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-4300
Practice Address - Country:US
Practice Address - Phone:816-522-5514
Practice Address - Fax:347-343-2890
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula