Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MA64277 | NJ |
NPI | 1013017284 |
---|---|
Provider Name | Dr. Syed Faiyaz Hussain |
First Address | Metuchen, NJ 08840-2290 |
Second Address | Metuchen, NJ 08840-2290 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7095007 | (05) | NJ |
G33365 | (02) | NJ |