Individual
DR. SYED QAISER SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1283 STATE ROUTE 27, SOMERSET, NJ 08873-5005
(732) 745-9025
(732) 545-3423
Mailing address
1283 STATE ROUTE 27, SOMERSET, NJ 08873-5005
(732) 745-9025
(732) 545-3423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25 MA04115600
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA04115600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443305
—
NJ
Enumeration date
10/12/2005
Last updated
04/20/2017
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