Provider Demographics
NPI:1992767198
Name:ALLEN, MUREEN (MBBS, MS, MA, FACP)
Entity type:Individual
Prefix:DR
First Name:MUREEN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MBBS, MS, MA, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1929
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-0009
Mailing Address - Country:US
Mailing Address - Phone:212-590-2649
Mailing Address - Fax:
Practice Address - Street 1:1333 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7204
Practice Address - Country:US
Practice Address - Phone:212-590-2649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07282900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0164879Medicaid
NJ131628BB4Medicare PIN