Organization
IQBAL AHMAD, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN PAGAN (OFFICE MANAGER)
(973) 643-5900
Entity
Organization
Contact information
Practice address
45 ACADEMY ST, SUITE 203, NEWARK, NJ 07102-2924
(973) 643-5900
(973) 643-3171
Mailing address
45 ACADEMY ST, SUITE 203, NEWARK, NJ 07102-2924
(973) 643-5900
(973) 643-3171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108356
AMERIGROUP
NJ
01
—
1100092
HORIZON NJ HEALTH
NJ
05
—
4979401
—
NJ
01
—
MI000012001
AMERICHOICE
NJ
Enumeration date
10/03/2007
Last updated
08/08/2008
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