Individual
MAIRA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(732) 942-5721
Mailing address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(732) 942-5721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12457000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2022
Last updated
07/03/2025
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