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Contact Information

MOHAMED ABOELENIN, PA-C
707 S ORANGE AVE
SOUTH ORANGE, NJ07079
 Phone: 973-761-1140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MOHAMED ABOELENIN · (Male)

NPI # 1689412512
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/16/2024
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00853900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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