Individual
DR. QAISER MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(201) 450-8710
Mailing address
30 PROSPECT AVE STE 300, HACKENSACK, NJ 07601-1915
(201) 450-8710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08467700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02521873
—
NY
Enumeration date
11/01/2006
Last updated
01/26/2023
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