Individual
ABDUR RAUF SHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 MADISON AVENUE, 3RD FLOOR, MORRISTOWN, NJ 07960-7360
(973) 309-4324
(973) 587-0303
Mailing address
PO BOX 174, MOUNTAIN LAKES, NJ 07046-0174
(201) 967-8425
(201) 967-8443
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA07564400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180114
—
NJ
Enumeration date
10/04/2006
Last updated
10/20/2022
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