Individual provider · NPI-1

Dr. Mohamad M Anwar, DPM

Podiatrist · Staten Island, NY

NPI number1639796774
StatusActive
Last updated in NPPESJul 5, 2020

Details

NPI
1639796774
Entity type
Individual (NPI-1)
Name
Dr. Mohamad M Anwar
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2020
Certification date
Jul 5, 2020
Last updated
Jul 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristP105261NYYes

Practice location

355 Bard Ave
Staten Island, NY 10310-1699

Phone 718-818-1234

Mailing address

29 Mountain Ave
Hawthorne, NJ 07506-3309

Phone 732-688-6773

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