Doctor Omar Awan

NPI 1104203025 - Internal Medicine - 207R00000X

NPI Details
NPI 1104203025
Enumeration Date 04/29/2015
Last Updated 11/25/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name OMAR OMAR
Position OWNER
Phone (732) 636-6636
Fax (732) 750-4117
Practice Location
850B WOODBRIDGE CENTER DR
WOODBRIDGE NJ, 07095-1324, US
Phone (732) 636-6636
Fax (732) 750-4117
Business Location
850B WOODBRIDGE CENTER DR
WOODBRIDGE NJ, 07095-1324, US
Phone (732) 636-6636
Fax (732) 750-4117
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA09351000
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According to our database, Doctor Omar Awan NPI is 1104203025, taxonomy code is 207R00000X and license number is 25MA09351000, license state is located at New Jersey. Doctor Omar Awan physically located at 850b Woodbridge Center Dr, Woodbridge NJ, 07095-1324. NPI Number 1033115704 has the healthcare provider type.

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1104203025 NPI number is provided on an as is basis without warranty of any kind. 1104203025 is maintained by the National Plan & Provider Enumeration System. The contents of Doctor Omar Awan are for informational purposes only.