Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 25MA07676500 | NJ |
NPI | 1023103876 |
---|---|
Provider Name | Aisha Masood |
First Address | New Brunswick, NJ 08901-1914 |
Second Address | New Brunswick, NJ 08901-2163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 14/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0064971 | (05) | NJ |
H72486 | (02) | |
P00230082 | RAILROAD MEDICARE (01) | NJ |