Individual
DR. NIBAL AHMAD ZAGHLOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-6674
(732) 418-9708
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-6674
(732) 418-9708
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
25MA08840100
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
35086391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259144
—
NJ
01
—
MA08840100
STATE LICENSE
NJ
Enumeration date
08/09/2005
Last updated
12/07/2012
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