# IMPERIAL MEDICAL GROUP LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1326165192
- **Authorized official:** NAUSHER AHMAD M.D. (PRESIDENT)
- **Authorized official phone:** (201) 407-3835

## Contact information

- **Practice address:** 201 LYONS AVE, DEPT OF MEDICINE, NEWARK BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112-2027
- **Practice address phone:** (201) 407-3835
- **Mailing address:** 8 MAIDA RD, EDISON, NJ 08820-2530
- **Mailing address phone:** (201) 407-3835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0400148972 | NJ | Yes |

## Other

- **Enumeration date:** 03/24/2007
- **Last updated:** 02/17/2022