Provider Demographics
NPI:1790371672
Name:MUHUMMAD, SAFIYYAH
Entity Type:Individual
Prefix:MRS
First Name:SAFIYYAH
Middle Name:
Last Name:MUHUMMAD
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 1:115 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3325
Mailing Address - Country:US
Mailing Address - Phone:908-265-1132
Mailing Address - Fax:
Practice Address - Street 1:115 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3325
Practice Address - Country:US
Practice Address - Phone:908-265-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula