Individual
MOHAMMAD IMRAN SAFDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 HIGHWAY 33, NEPTUNE, NJ 07753-4859
(732) 897-0200
(732) 897-0263
Mailing address
PO BOX 307, NEPTUNE, NJ 07754-0307
(732) 897-0200
(732) 897-0263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08482300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08482300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206211
—
NJ
Enumeration date
04/11/2009
Last updated
10/26/2011
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