Individual
SHAIK ABUBAKAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 CENTRAL AVE, JERSEY CITY, NJ 07307-2727
(201) 222-0821
(201) 222-1018
Mailing address
452 CENTRAL AVE, JERSEY CITY, NJ 07307-2727
(201) 222-0821
(201) 222-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA053582
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5315701
—
NJ
Enumeration date
09/13/2005
Last updated
07/08/2007
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