Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MA062626 | NJ |
NPI | 1063448504 |
---|---|
Provider Name | Dr. Nabeel Obaid |
First Address | Wayne, NJ 07470-5558 |
Second Address | East Orange, NJ 07018-2835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 24/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G1640 | (02) | NJ |