Mustapha Kaddour

NPI 1164814539 · on the registry since 2015 · sole proprietor

Practice

Address: 222 Bergen Blvd
Suite 1
Fairview, NJ 07022
Phone: (201) 945-2525
Fax: (201) 945-2528
Organisation at this address: Eyedeal Vision Center
Advanced Physical Medicine Center, Llc
Advanced Physical Medicine Center Of Fairview, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey