Provider Demographics
NPI:1780234112
Name:NAJJAR, OMAR AHMAD
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:AHMAD
Last Name:NAJJAR
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 1:5560 CYPRESS TREE CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4546
Mailing Address - Country:US
Mailing Address - Phone:561-248-3254
Mailing Address - Fax:
Practice Address - Street 1:5560 CYPRESS TREE CT
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4546
Practice Address - Country:US
Practice Address - Phone:561-248-3254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)