Individual
IZHAR HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 PARK AVE STE 206, LYNDHURST, NJ 07071-1462
(201) 939-1007
Mailing address
456 VANDERVEER RD, BRIDGEWATER, NJ 08807-2556
(908) 328-4848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07991800
NJ
Other
Enumeration date
09/07/2006
Last updated
10/27/2009
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