Individual
AMANULLAH A VAZIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 MCBRIDE AVE, SUITE 201B, WOODLAND PARK, NJ 07424-2570
(973) 256-0287
(973) 256-2876
Mailing address
999 MCBRIDE AVE, SUITE 201B, WOODLAND PARK, NJ 07424-2570
(973) 256-0287
(973) 256-2876
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MA55076
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MA55076
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MA55076
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6187609
—
NJ
Enumeration date
11/17/2006
Last updated
03/02/2011
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