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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAHMOUD LOGHMAN-ADHAM, M.D.

Active Sole Proprietor

DR. MAHMOUD LOGHMAN-ADHAM, M.D. is a Pediatric Nephrology healthcare provider located in NUTLEY, New Jersey. NPI 1043594120 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nephrology · NUTLEY, NJ

Registration Details

NPI Number
1043594120
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2011 (14.865326391712 yrs)
Last Updated
Oct 6, 2011
Licenses
25MA07629100 (NJ)
176291-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
340 KINGSLAND ST
NUTLEY, NJ, 071101150
Browse NJ providers · Browse ZIP 07110
Phone
9735622127
Fax
9086471082
Primary Specialty
Pediatric Nephrology
2080P0210X
Additional Specialty
Pediatric Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.