Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 25MA09716100 | NJ |
N | 207ND0101X | MOHS-Micrographic Surgeon | 25MA09716100 | NJ |
NPI | 1225325848 |
---|---|
Provider Name | Dr. Zain Husain |
First Address | Marlboro, NJ 07746-1087 |
Second Address | Marlboro, NJ 07746-1087 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2011 |
Last Update Date | 16/04/2019 |