Individual
AMMAR BAZERBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 HWY 35, MIDDLETOWN, NJ 07748-2603
(732) 888-0017
(732) 888-0097
Mailing address
950 HWY 35, MIDDLETOWN, NJ 07748-2603
(732) 888-0017
(732) 888-0097
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA072160
NJ
207R00000X
Internal Medicine Physician
Primary
MA072160
NJ
Other
Enumeration date
05/10/2006
Last updated
07/03/2026
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