# KSA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063276012
- **Authorized official:** AIZA AKBAR (OWNER)
- **Authorized official phone:** (201) 647-8035

## Contact information

- **Practice address:** 230 SHERMAN AVE STE B, GLEN RIDGE, NJ 07028-1520
- **Practice address phone:** (201) 647-8035
- **Mailing address:** 1124 ALLESSANDRINI AVE, NEW MILFORD, NJ 07646-2403
- **Mailing address phone:** (201) 647-8035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 04/23/2025