Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 254061 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA08731500 | NJ |
NPI | 1104957976 |
---|---|
Provider Name | Nomaan Ashraf |
First Address | Westwood, NJ 07675-0631 |
Second Address | Emerson, NJ 07630-1396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 01/06/2010 |