Organization
DOCTOR OMAR AWAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR AWAN M.D (OWNER)
(732) 636-6636
Entity
Organization
Contact information
Practice address
850B WOODBRIDGE CENTER DR, WOODBRIDGE, NJ 07095-1324
(732) 636-6636
(732) 750-4117
Mailing address
850B WOODBRIDGE CENTER DR, WOODBRIDGE, NJ 07095-1324
(732) 636-6636
(732) 750-4117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09351000
NJ
Other
Enumeration date
04/29/2015
Last updated
11/25/2015
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