Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA10557200 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA10557200 | NJ |
NPI | 1649512070 |
---|---|
Provider Name | Dr. Qasim Husain |
First Address | Neptune, NJ 07753 |
Second Address | Neptune, NJ 07753-0775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2013 |
Last Update Date | 06/05/2021 |