Organization
IMPERIAL MEDICAL GROUP LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAUSHER AHMAD M.D. (PRESIDENT)
(201) 407-3835
Entity
Organization
Contact information
Practice address
201 LYONS AVE, DEPT OF MEDICINE, NEWARK BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112-2027
(201) 407-3835
Mailing address
8 MAIDA RD, EDISON, NJ 08820-2530
(201) 407-3835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0400148972
NJ
Other
Enumeration date
03/24/2007
Last updated
02/17/2022
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