Individual provider · NPI-1
Abdurrahman Abdulhakeem
Emergency Medical Technician, Basic · East Orange, NJ
NPI number1477940872
StatusActive
Last updated in NPPESApr 25, 2015
Details
- NPI
- 1477940872
- Entity type
- Individual (NPI-1)
- Name
- Abdurrahman Abdulhakeem
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2015
- Last updated
- Apr 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 102777 | NJ | Yes |
Practice location
492 Park AveApt2
East Orange, NJ 07017-2590
Phone 862-252-0858 · Fax 862-252-8808
Mailing address
492 Park AveApt2
East Orange, NJ 07017-2590
Phone 862-252-0858 · Fax 862-252-8808
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