Provider Demographics
NPI:1629242375
Name:HUSSEIN, MAHMOUD S (BVSC)
Entity Type:Individual
Prefix:DR
First Name:MAHMOUD
Middle Name:S
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:BVSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 FORT PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-1140
Mailing Address - Country:US
Mailing Address - Phone:732-577-0066
Mailing Address - Fax:732-577-0588
Practice Address - Street 1:639 FORT PLAINS RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1140
Practice Address - Country:US
Practice Address - Phone:732-577-0066
Practice Address - Fax:732-577-0588
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00506300174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian