Provider Demographics
NPI:1902255409
Name:MOHSEN, MAJD (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAJD
Middle Name:
Last Name:MOHSEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 DONOR AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1768
Mailing Address - Country:US
Mailing Address - Phone:201-923-0159
Mailing Address - Fax:
Practice Address - Street 1:159 DONOR AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1768
Practice Address - Country:US
Practice Address - Phone:201-923-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02628300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist