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Individual

MOHAMMAD TARIQ JAVED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
377 JERSEY AVE, 410, JERSEY CITY, NJ 07302-4393
(201) 200-0318
(201) 200-0319
Mailing address
377 JERSEY AVE, 410, JERSEY CITY, NJ 07302-4393
(201) 200-0318
(201) 200-0319

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA72103
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MA72103
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8973903
NJ
01
D08022200
CDS
NJ
Enumeration date
12/07/2005
Last updated
03/15/2013
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