Organization
M. FARRUKH NIZAM, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED FARRUKH NIZAM MD (PHYSICIAN)
(732) 494-0100
Entity
Organization
Contact information
Practice address
98 JAMES ST, SUITE 301, EDISON, NJ 08820-3902
(732) 494-0100
(732) 494-0114
Mailing address
98 JAMES ST, SUITE 301, EDISON, NJ 08820-3902
(732) 494-0100
(732) 494-0114
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
NJ
2084P0805X
Geriatric Psychiatry Physician
—
NJ
Other
Enumeration date
06/03/2009
Last updated
10/26/2016
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