person
Mohamed Kawam, MD
Specialist in Prospect Park, New Jersey
NPI 1760541312

Mohamed Kawam is a Specialist based in Wayne, NJ. Mohamed Kawam practices in Prospect Park, NJ and has the professional credentials of MD. The NPI Number for Mohamed Kawam is 1760541312 and holds a License No. 25MA06054400 (New Jersey).

The current practice location address for Mohamed Kawam is 160 Haledon Ave, Prospect Park, NJ and can be reached out via phone at 973-942-3200 and via fax at 973-942-2901.

Location: 160 Haledon Ave, Prospect Park, NJ, 07474-3400
person
Provider Profile Details
NPI Number
1760541312
Provider Name
Mohamed Kawam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
160 Haledon Ave, Prospect Park, NJ, 07474-3400
Phone Number
973-942-3200
Fax Number
973-942-2901
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0527024 01 NJ AETNA HMO#
3K3301 01 NJ HEALTHNET #
01000019400 01 NJ AMERICHOICE#
395AD1 01 NJ EMPIRE BC/BS NY
5503390 01 NJ GHI PPO#
P00311542 01 NJ RR MDCR #
4592906 01 NJ AETNA PPO#
1081846 01 NJ HORIZON NJ HEALTH#
0551037000 01 NJ AMERIHEALTH#
12129 01 NJ UNIVERSITY HEALTH PLANS #
P2145955 01 NJ OXFORD#
12189 01 NJ AMERIGROUP#
223521353 01 NJ TAX ID#
6274501 05 NJ
institution
Provider Business Practice Location Address Details
Address
160 Haledon Ave
City
State
Zip
07508-2051
Phone Number
973-942-3200
Fax Number
973-942-2901
person
Provider Business Mailing Address Details
Address
160 Haledon Ave
City
State
Zip
07508-2051
Phone Number
973-942-3200
Fax Number
973-942-2901
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25MA06054400 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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