Ahmad, Imtiaz

Ahmad, Imtiaz is an individual health care provider with primary practice located at 308 Willow Ave. , Hoboken NJ 07030-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ahmad, Imtiaz can be contacted via phone (201) 418-1420.

Contact Information

Primary practice address
308 Willow Ave. Hoboken NJ 07030-3808
Phone: (201) 418-1420
Fax: (201) 418-1983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03908600 New Jersey

Profile Details

NPI number 1720146384
LBN Legal business name Ahmad, Imtiaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Mar 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720146384 NPPES
New Jersey MEDICAID 3626202

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