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Individual

MIR M AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
83 HANOVER RD, SUITE 290, FLORHAM PARK, NJ 07932
(973) 736-2212
(973) 736-2989
Mailing address
15 HOP BROOK LN, HOLMDEL, NJ 07733-2143
(908) 912-4561
(908) 603-0191

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06784300
NJ
207R00000X
Internal Medicine Physician
25MA06784300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8336105
NJ
Enumeration date
09/26/2006
Last updated
08/13/2018
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