Provider Demographics
NPI:1992719652
Name:HUSSAIN, MUHAMMAD NASIR (DO)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:NASIR
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 WEXFORD CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940
Mailing Address - Country:US
Mailing Address - Phone:609-394-5787
Mailing Address - Fax:609-394-3777
Practice Address - Street 1:512 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609
Practice Address - Country:US
Practice Address - Phone:609-394-5787
Practice Address - Fax:609-394-5787
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB064250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7515707Medicaid
G65682Medicare UPIN
NJ006969Medicare UPIN