Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MA58143 | NJ |
NPI | 1003872268 |
---|---|
Provider Name | Mohammad A Zubair |
First Address | Woodbridge, NJ 07095-1324 |
Second Address | Woodbridge, NJ 07095-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 06/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6523307 | (05) | NJ |
G02156 | (02) | NJ |