Individual
DR. AHMED MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
666 PLAINSBORO RD, SUITE 1318, PLAINSBORO, NJ 08536-3030
(732) 266-3733
Mailing address
5 SANIBEL CT, MONROE TOWNSHIP, NJ 08831-5816
(732) 266-3733
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA07123000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014940
—
NJ
Enumeration date
11/29/2006
Last updated
08/08/2011
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