MEDICARE: DR. MOHAMMED SAJJAD IQBAL M.D.

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	208000000X	Pediatrics Physician	25MA03165400	NJ

General Provider Information

NPI Number	:	1972564078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED SAJJAD IQBAL M.D.

Provider Business Mailing Address
First Line	:	735 LINWOOD AVE
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3534
Country	:	US
Telephone Number	:	201-670-1231
Fax Number	:	201-612-0922

Provider Business Practice Location Address
First Line	:	735 LINWOOD AVE
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3534
Country	:	US
Telephone Number	:	201-670-1231
Fax Number	:	201-612-0922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	03/29/2026

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