Provider Demographics
NPI:1912526880
Name:MUHIEDDINE, DALIA (DO)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:MUHIEDDINE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 NEWARK ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4545
Mailing Address - Country:US
Mailing Address - Phone:551-350-6910
Mailing Address - Fax:201-253-0454
Practice Address - Street 1:59 NEWARK ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4545
Practice Address - Country:US
Practice Address - Phone:551-350-6910
Practice Address - Fax:201-253-0454
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11946100207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine