Healthcare Provider Details

I. General information

NPI: 1992765226
Provider Name (Legal Business Name): FOUAD YOUNIS RASHEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 12/28/2011
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: 973-942-2131
  • Fax: 973-942-6269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: