NPI 1063073393

Mohammed Ismael, MDDO

Practitioner Surgery Physician Middletown, NY

Practice location

Address: 707 E Main St, Middletown, NY 10940-2650
Phone: (845) 333-6333
Fax: (845) 333-7342

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 02007859A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063073393
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2019
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.