Individual provider · Type 1 NPI

Own Dumam Mohammad Khraisat, MD

Student in an Organized Health Care Education/Training Program · Englewood, NJ

NPI number 1679324453 Active

Practice location

350 Engle Street, Department Of Medicine
Englewood, NJ 07631

Call (201) 894-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679324453

Own Dumam Mohammad Khraisat, MD's National Provider Identifier is 1679324453, issued on Mar 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Englewood, NJ. The record was last updated on Jul 10, 2024.