MEDICARE: MEHNAZ A HAQ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1821716085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEHNAZ A HAQ MD

Provider Business Mailing Address
First Line	:	2648 ROUTE 27
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1021
Country	:	US
Telephone Number	:	732-951-8585
Fax Number	:	732-951-9112

Provider Business Practice Location Address
First Line	:	2648 ROUTE 27
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1021
Country	:	US
Telephone Number	:	732-951-8585
Fax Number	:	732-951-9112

Authorized Official
Title or Position	:	OWNER
Name	:	MEHNAZ A HAQ
Credential	:	MD
Telephone Number	:	732-951-8585

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	08/15/2022

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