Khadijah Ismael in Avenel - General Practice
Khadijah Ismael - NPI 1063542587
Khadijah Ismael is a General Practice in Avenel, New Jersey. Khadijah Ismael practices all healthcare services and medical treatments related to General Practice. The NPI Number for Khadijah Ismael is 1063542587. The last update date is 2007-07-09.
Khadijah Ismael's current location address is 103 Borman Ave, Avenel, New Jersey. You can contact this provider via phone number 9739796144. The mailing address for Khadijah Ismael is 103 Borman Ave, Avenel, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khadijah Ismael |
|---|---|
| Address | 103 Borman Ave, Avenel, New Jersey |
| Phone Number | 9739796144 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1063542587 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 103 Borman Ave |
|---|---|
| City | Avenel |
| State | New Jersey (NJ) |
| Post Code | 70012106 |
| Phone Number | 9739796144 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22DI02314800 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97845 | NJ | -- | |
| 97829 | NJ | -- | |
| 97837 | NJ | -- |
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What is the unique 10-digit identification code issued to Khadijah Ismael by the Centers for Medicare & Medicaid Services?
The Khadijah Ismael has been assigned the NPI (National Provider Identifier) 1063542587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Khadijah Ismael's facilities are situated?
The facilities of Khadijah Ismael are physically located at the following address: 103 Borman Ave, Avenel, NJ, 70012106.
What is Khadijah Ismael's specialized field of practice, and what is the corresponding taxonomy classification code?
The Khadijah Ismael's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Khadijah Ismael receive the assignment of its 1063542587 from the Centers for Medicare & Medicaid Services?
The Khadijah Ismael was issued its 1063542587 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the details related to Khadijah Ismael most recently updated or revised?
The information pertaining to Khadijah Ismael, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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