Organization
DOCTOR OMAR AWAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR Q AWAN MD (MD)
(732) 397-6000
Entity
Organization
Contact information
Practice address
900 WOODBRIDGE CENTER DR, WOODBRIDGE, NJ 07095-1324
(732) 397-6000
Mailing address
42 HIGHVIEW DR, WOODBRIDGE, NJ 07095-3904
(732) 397-6000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418561
—
NJ
Enumeration date
03/22/2017
Last updated
03/22/2017
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