Organization
AMMAR BAZERBASHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR BAZERBASHI M.D. (PHYSICIAN)
(732) 888-0017
Entity
Organization
Contact information
Practice address
668 N BEERS ST, SUITE 105, HOLMDEL, NJ 07733-1511
(732) 888-0017
(732) 888-0097
Mailing address
668 N BEERS ST, SUITE 105, HOLMDEL, NJ 07733-1511
(732) 888-0017
(732) 888-0097
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA72160
NJ
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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