Provider Demographics
NPI:1982030318
Name:ALSAMADISI, MORSY (BVSC)
Entity Type:Individual
Prefix:DR
First Name:MORSY
Middle Name:
Last Name:ALSAMADISI
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 1:1011 ROUTE 202 N
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3747
Mailing Address - Country:US
Mailing Address - Phone:908-707-1555
Mailing Address - Fax:908-707-0166
Practice Address - Street 1:1011 ROUTE 202 N
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3747
Practice Address - Country:US
Practice Address - Phone:908-707-1555
Practice Address - Fax:908-707-0166
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100424200174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian