Provider Demographics
NPI:1942221205
Name:ABDULMASIH, YOUSEF (MD)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:ABDULMASIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MARY DR
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082-1504
Mailing Address - Country:US
Mailing Address - Phone:973-316-8115
Mailing Address - Fax:973-595-0206
Practice Address - Street 1:290 UNION BLVD
Practice Address - Street 2:ST 2
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2610
Practice Address - Country:US
Practice Address - Phone:973-595-0600
Practice Address - Fax:973-595-0206
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA62512208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6806601Medicaid