Most Relevant Information
Provider Data
| NPI Number: | 1003444167 |
| Provider Name: | OMAR MOHAMMED ABDELFATTAH MBBCH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 04/01/2020 |
Provider Practice Location
100 MADISON AVE
MORRISTOWN
NJ
079606136
Practice Location Phone/Fax
| Phone: | 9739715000 |
| Fax: |
Provider Mailing Location
100 MADISON AVE
MORRISTOWN
NJ
079606136
Provider Mailing Phone/Fax
| Phone: | 9739715000 |
| Fax: |