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NPI Code Detail

MEDICARE: HUSSEIN ASSALLUM MD

MEDICARE:   HUSSEIN  ASSALLUM  MD
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
1207RP1001XPulmonary Disease Physician276862NY
2207RC0200XCritical Care Medicine (Internal Medicine) Physician25MA11080100NJ
3207RC0200XCritical Care Medicine (Internal Medicine) Physician276862NY
4207RP1001XPulmonary Disease Physician25MA11080100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073883104
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUSSEIN ASSALLUM MD
Provider Business Mailing Address
First Line : 555 NORTH AVE APT 17D
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-2416
Country : US
Telephone Number : 646-705-2344
Fax Number :
Provider Business Practice Location Address
First Line : 506 LENOX AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10037-1802
Country : US
Telephone Number : 212-939-2295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2012
Last Update Date : 12/23/2025

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