Individual
DR. FAZAL ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
C7-0005874
DE
207RC0000X
Cardiovascular Disease Physician
Primary
25MB11526600
NJ
Other
Enumeration date
03/30/2015
Last updated
01/23/2023
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