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NPI Code Detail

MEDICARE: SUJOOD AHMED MD

MEDICARE: SUJOOD AHMED 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
1207RC0000XCardiovascular Disease Physician25MA07887000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11097316OTHERNJAETNA
26084676OTHERNJCIGNA

General Provider Information

NPI Number : 1932120615
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUJOOD AHMED MD
Provider Business Mailing Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Provider Business Practice Location Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 04/10/2023

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