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Individual

ANTWAN AHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1265 PATERSON PLANK RD, SUITE 3E, SECAUCUS, NJ 07094-3242
(201) 863-6101
(201) 863-7777
Mailing address
1265 PATERSON PLANK RD STE 3A, SECAUCUS, NJ 07094-3242
(201) 863-6101
(201) 863-7777

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06226900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7560508
NJ
Enumeration date
08/20/2006
Last updated
08/18/2020
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