Individual
PERVAIZE LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACA
Contact information
Practice address
565 NEW BRUNSWICK AVE, FORDS, NJ 08863
(732) 738-8000
(732) 738-1663
Mailing address
565 NEW BRUNSWICK AVE, FORDS, NJ 08863
(732) 738-8000
(732) 738-1663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA033090
NJ
207RC0000X
Cardiovascular Disease Physician
MA033090
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1614908
—
NJ
05
—
6525601
—
NJ
Enumeration date
10/02/2006
Last updated
09/11/2025
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