Doctor Name: | AHMED G. MAMI |
NPI Number: | 1114034352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA08715500 |
Business Practice Address: | 615 Hope Rd Victoria Plaza, Suite 1-a Eatontown, NJ - 077241277 |
Business Phone Number: | 7329350407 |
Business Fax Number: | 7329350757 |
Mailing Address: | Po Box 416925, BOSTON |
State: | MA |
Postal Code: | 022416925 |
Phone Number: | 7327513656 |
Fax Number: | 7326434406 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0120X |
License Number: | 25MA08715500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Pediatric Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |