Healthcare Provider Details

I. General information

NPI: 1649462995
Provider Name (Legal Business Name): FUTURE PEDIATRIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N 8TH ST
PROSPECT PARK NJ
07508-2002
US

IV. Provider business mailing address

PO BOX 8245
HALEDON NJ
07538-0245
US

V. Phone/Fax

Practice location:
  • Phone: 973-942-2131
  • Fax: 973-942-6269
Mailing address:
  • Phone: 973-772-6999
  • Fax: 973-772-6899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA06164200
License Number StateNJ

VIII. Authorized Official

Name: DR. FOUAD YOUNIS RASHEED
Title or Position: MEDICAL DOCTOR
Credential: M.D.
Phone: 973-772-6999