Healthcare Provider Details

I. General information

NPI: 1184111908
Provider Name (Legal Business Name): YUSEF HASSAN SABRI HAMID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 WILLOW AVE
HOBOKEN NJ
07030-3807
US

IV. Provider business mailing address

309 WILLOW AVE
HOBOKEN NJ
07030-3807
US

V. Phone/Fax

Practice location:
  • Phone: 201-418-3125
  • Fax:
Mailing address:
  • Phone: 201-418-3125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number29180
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: