Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 212542 | NY |
NPI | 1598846032 |
---|---|
Provider Name | Dr. Muhammad Waseem |
First Address | Teaneck, NJ 07666-6533 |
Second Address | Bronx, NY 10451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01825447 | (05) | NY |
G69551 | (02) | NY |