Organization
DR K A ZIYAAUDHIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAPPUKALAR A ZIYAAUDHIN MD (OWNER)
(973) 623-9011
Entity
Organization
Contact information
Practice address
186 W MARKET ST, SUITE 211A, NEWARK, NJ 07103-2783
(973) 623-9011
(973) 624-1208
Mailing address
186 W MARKET ST, SUITE 211A, NEWARK, NJ 07103-2783
(973) 623-9011
(973) 624-1208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03218600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3035506
—
NJ
Enumeration date
02/07/2008
Last updated
02/07/2008
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