Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 25MD00350100 | NJ |
Y | 222Z00000X | Podiatrist | 25MD00350100 | NJ |
NPI | 1063902534 |
---|---|
Provider Name | Dr. Aamir Ahmed |
First Address | Millburn, NJ 07041-1712 |
Second Address | Millburn, NJ 07041-1712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2018 |
Last Update Date | 30/10/2020 |