IndividualActive
Fatima Masumova, DO
NPI 1730522756 · Forensic Psychiatry Physician · Avenel, NJ
Provider details
- NPI number
- 1730522756
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- OS021046 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15 Paddock St
Avenel, NJ 07001-1856
Phone: (732) 499-5041
Approximate (ZIP-level) locationGet directions
Mailing address
323 Windsor Rd
Mullica Hill, NJ 08062-1875
Additional practice locations (2)
- 2501 N 3rd StHarrisburg, PA 17110-1904Phone: (717) 782-6420Fax: (717) 782-4727
- 500 University DrHershey, PA 17033-2360Phone: (800) 243-1455
Registry dates
- Enumerated
- 2013-04-09
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.