MEDICARE: FAIR MEDICAL SERVICES LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1578914933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIR MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 9559
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08650-1559
Country	:	US
Telephone Number	:	973-652-3539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 WHITEHORSE HAMILTON SQUARE RD STE 1
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3535
Country	:	US
Telephone Number	:	609-890-8200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAMID MASOOD
Credential	:	MD
Telephone Number	:	973-652-3539

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	07/02/2025

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