Bassam Aljomard, MD
Pediatrics in Modesto, CA. Individual provider (NPI-1).
NPI number1093282907
StatusActive
Last updated in NPPESAug 23, 2021
Details
- NPI
- 1093282907
- Entity type
- Individual (NPI-1)
- Name
- Bassam Aljomard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Certification date
- Aug 23, 2021
- Last updated
- Aug 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A136340 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1510 Florida AveModesto, CA 95350-4437
Phone 866-682-4842 · Fax 877-435-6573
Mailing address
737 W Childs AveMerced, CA 95341-6805
Phone 866-682-4842
Other practice locations
7910 Broadway
Elmhurst, NY 11373-1340
Elmhurst, NY 11373-1340
Phone 718-334-4000
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