Provider Demographics
NPI:1871342931
Name:MANSOOR, NASHWA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NASHWA
Middle Name:
Last Name:MANSOOR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PATHOLOGY, MEDICAL SCIENCE BUILDING
Mailing Address - Street 2:185 SOUTH ORANGE AVENUE
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103
Mailing Address - Country:US
Mailing Address - Phone:631-645-7172
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PATHOLOGY, MEDICAL SCIENCE BUILDING
Practice Address - Street 2:185 SOUTH ORANGE AVENUE
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:732-445-4636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program