Provider Demographics
NPI:1639328685
Name:KARIM, ANJUM HASAN (MD)
Entity type:Individual
Prefix:DR
First Name:ANJUM
Middle Name:HASAN
Last Name:KARIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANJUM
Other - Middle Name:
Other - Last Name:HASAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1001 BRIGGS RD
Mailing Address - Street 2:DEPARTMENT OF INFECTIOUS DISEASE
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4100
Mailing Address - Country:US
Mailing Address - Phone:856-866-7466
Mailing Address - Fax:
Practice Address - Street 1:315 MARLTON PIKE E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2408
Practice Address - Country:US
Practice Address - Phone:856-375-6240
Practice Address - Fax:856-375-6241
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08461500207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0429228Medicaid