Omar Mohammed Abdelfattah, MBBCH
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Morristown, NJ
NPI 1003444167 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1003444167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 0000000 (NJ)
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5000
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | NJ | MD | Internal Medicine Physician |
Interoperability endpoints
- oabdelfattah1055936@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 0000000 | NJ | Yes |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000
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All providers in Morristown, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.