Provider Demographics
NPI:1053168146
Name:HAMMAD, MOHAMAD (MD)
Entity type:Individual
Prefix:
First Name:MOHAMAD
Middle Name:
Last Name:HAMMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 JACK MARTIN BLVD.
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724
Mailing Address - Country:US
Mailing Address - Phone:732-840-2200
Mailing Address - Fax:732-840-2200
Practice Address - Street 1:425 JACK MARTIN BLVD.
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-840-2200
Practice Address - Fax:732-840-2200
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2025-01-09
Deactivation Date:2025-01-09
Deactivation Code:
Reactivation Date:2025-01-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program