Healthcare Provider Details

I. General information

NPI: 1962962894
Provider Name (Legal Business Name): AHMED MOHAMED OSMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HIGHWAY 31 STE 1
FLEMINGTON NJ
08822-5770
US

IV. Provider business mailing address

203 ENGLISH PL
BASKING RIDGE NJ
07920-2739
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-0619
  • Fax:
Mailing address:
  • Phone: 973-393-0619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02784700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: