Individual
DR. MOHAMMED FARRUKH NIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 JAMES STREET, SUITE 301, EDISON, NJ 08820
(732) 738-8830
(732) 738-8831
Mailing address
98 JAMES STREET, SUITE 301, SUITE 301, EDISON, NJ 08820
(732) 738-8830
(732) 738-8831
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MA065165
NJ
2084N0600X
Clinical Neurophysiology Physician
MA065165
NJ
Other
Enumeration date
09/20/2006
Last updated
02/18/2022
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