Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISSAM MOUDED, M.D.
Active Sole ProprietorISSAM MOUDED, M.D. is a Specialist healthcare provider located in SECAUCUS, New Jersey. NPI 1629092218 is currently active in the NPPES registry. Verify at CMS.
Specialist · SECAUCUS, NJ
Registration Details
- NPI Number
- 1629092218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (19.864512207648 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA39766 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
255 STATE RT 3SUITE#105SECAUCUS, NJ, 070943857Browse NJ providers · Browse ZIP 07094
- Phone
- 2018651919
- Fax
- 2018654022
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SECAUCUS, NJ
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A ORTIZ | MD | 1073555918 |
| DR. RIAD AHMED KABAKIBI | M.D. | 1609896406 |
| IRA D TANZER | M.D. | 1215080163 |
| MS. EUN YE YOO | M.D. | 1558481861 |
| LICELOT GONZALEZ | RBT | 1912372426 |
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.