Provider Demographics
NPI:1629826987
Name:AL SEIDI, JUMANA AMJAD ZAKARIA (MD)
Entity type:Individual
Prefix:MISS
First Name:JUMANA
Middle Name:AMJAD ZAKARIA
Last Name:AL SEIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ASHEVILLE ROAD, UNIT 527, CHESTNUTHILL
Mailing Address - Street 2:UNIT 527
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467
Mailing Address - Country:US
Mailing Address - Phone:857-999-6435
Mailing Address - Fax:
Practice Address - Street 1:111 CENTRAL AVE, NEWARK NJ 07102 USA
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:973-342-5212
Practice Address - Fax:973-877-5367
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program