Provider Demographics
NPI:1285067975
Name:UMDNJ-NEW JERSEY MEDICAL SCHOOL
Entity type:Organization
Organization Name:UMDNJ-NEW JERSEY MEDICAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR/PROG DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-972-4670
Mailing Address - Street 1:180 WEST MARKET STREET
Mailing Address - Street 2:APT NO. 1319
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103
Mailing Address - Country:US
Mailing Address - Phone:929-888-1728
Mailing Address - Fax:
Practice Address - Street 1:183 S. ORANGE AVE
Practice Address - Street 2:BHSB RM E-1447
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-1709
Practice Address - Country:US
Practice Address - Phone:973-972-4678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty