Individual
DR. AHMAD KAZEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
562 BOULEVARD, KENILWORTH, NJ 07033-1673
(908) 272-1300
(908) 272-3231
Mailing address
562 BOULEVARD, KENILWORTH, NJ 07033-1673
(908) 272-1300
(908) 272-3231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MAO30770
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2970708-01
—
NJ
Enumeration date
12/19/2005
Last updated
06/25/2010
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