Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 25MA07658100 | NJ |
NPI | 1174536114 |
---|---|
Provider Name | Irfan A Alladin |
First Address | Clifton, NJ 07012-4405 |
Second Address | Parsippany, NJ 07054-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 03/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I12780 | (02) | NJ |