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NPI Code Detail

MEDICARE: DR. AHMED MOHAMED REZK D.O.

MEDICARE:  DR. AHMED MOHAMED REZK  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25MB10952500NJ

General Provider Information

NPI Number : 1518301506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMED MOHAMED REZK D.O.
Provider Business Mailing Address
First Line : 3600 ROUTE 66 FL 4
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number : 732-571-1000
Fax Number : 732-571-1156
Provider Business Practice Location Address
First Line : 3600 ROUTE 66 FL 4
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number : 732-571-1000
Fax Number : 732-571-1156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 03/05/2025

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Directions to “ DR. AHMED MOHAMED REZK D.O.” Practice Location

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