# AMMAR BAZERBASHI

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

## Provider details

- **NPI number:** 1548488968
- **Authorized official:** AMMAR BAZERBASHI M.D. (PHYSICIAN)
- **Authorized official phone:** (732) 888-0017

## Contact information

- **Practice address:** 950 HWY 35, MIDDLETOWN, NJ 07748-2603
- **Practice address phone:** (732) 888-0017
- **Practice address fax:** (732) 888-0097
- **Mailing address:** 950 HWY 35, MIDDLETOWN, NJ 07748-2603
- **Mailing address phone:** (732) 888-0017
- **Mailing address fax:** (732) 888-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MA72160 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | MA72160 | NJ | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 07/03/2026