Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FATIMA A MASUMOVA, DO
Active Sole ProprietorFATIMA A MASUMOVA, DO is a Forensic Psychiatry healthcare provider located in AVENEL, New Jersey. NPI 1730522756 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychiatry · AVENEL, NJ
Registration Details
- NPI Number
- 1730522756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2013 (13.364695958987 yrs)
- Last Updated
- Feb 8, 2022
- Licenses
-
OS021046 (PA)OS021046 (PA)OS021046 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 PADDOCK STAVENEL, NJ, 070011856Browse NJ providers · Browse ZIP 07001
- Phone
- 7324995041
- Primary Specialty
-
Forensic Psychiatry
2084F0202X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Forensic Psychiatry
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.