Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 25MD00293500 | NJ |
N | 213ES0000X | Sports Medicine | 25MD00293500 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00293500 | NJ |
NPI | 1447440292 |
---|---|
Provider Name | Dr. Affan Akhtar |
First Address | Wayne, NJ 07470-5043 |
Second Address | Wayne, NJ 07470-5043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 20/05/2014 |