Provider Demographics
NPI:1578848974
Name:HUDSON COUNTY INTERNAL MEDICINE, PC
Entity Type:Organization
Organization Name:HUDSON COUNTY INTERNAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-292-7575
Mailing Address - Street 1:502 W SIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1528
Mailing Address - Country:US
Mailing Address - Phone:201-485-6162
Mailing Address - Fax:
Practice Address - Street 1:664 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4726
Practice Address - Country:US
Practice Address - Phone:201-292-7575
Practice Address - Fax:201-710-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08540300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty