Individual provider · NPI-1

Bisma Alam, MD

Internal Medicine, Critical Care Medicine · Hackensack, NJ

NPI number1780004895
StatusActive
Last updated in NPPESJul 13, 2020

Details

NPI
1780004895
Entity type
Individual (NPI-1)
Name
Bisma Alam
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2014
Certification date
Jul 13, 2020
Last updated
Jul 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine25MA10602700NJYes

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-1330

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-1330

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