Individual
TAREQ AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(856) 745-5653
Mailing address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(718) 270-4580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
310931
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
04/27/2023
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