Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA08562600 | NJ |
NPI | 1073700381 |
---|---|
Provider Name | Sameera Daud-Ahmad |
First Address | Edgewater, NJ 07020-1170 |
Second Address | Edgewater, NJ 07020-1170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1N8423 | MEDICARE PIN (01) | NJ |