Islam K Abusido, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, NJ
NPI 1780967646 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1780967646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 111 Central Ave
Newark, NJ 07102-1909 - Phone
- (973) 877-5163
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102-1909
Mailing address
33 Patton Dr
Apt a
Bloomfield, NJ 07003-5286
Phone (973) 707-5506
Other providers in Newark, NJ
- Ahmed Abu Taleb
- Nancy Leroux Abud
- Abundant Hope Developmental Supports NJ LLC
- Mohammad Abushanab
- Odai Abushanab
- Access Medicine NJ
- Luis Acevedo
- Sashali Acevedo
- Pankaja Achar
- Chidi Reuben Achebe
All providers in Newark, 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 Sep 27, 2011. 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.