Provider Demographics
NPI:1891492906
Name:HASSIM, MOHAMED ALIM
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:ALIM
Last Name:HASSIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 PRINCETON PIKE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3945
Mailing Address - Country:US
Mailing Address - Phone:347-432-3465
Mailing Address - Fax:
Practice Address - Street 1:801 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-3913
Practice Address - Country:US
Practice Address - Phone:609-858-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)