Healthcare Provider Details

I. General information

NPI: 1669890570
Provider Name (Legal Business Name): HARRIS CHAUHDRY SULTAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NEWARK AVE STE 306
BELLEVILLE NJ
07109-1186
US

IV. Provider business mailing address

420 MOUNTAIN AVE FL 4
NEW PROVIDENCE NJ
07974-2736
US

V. Phone/Fax

Practice location:
  • Phone: 973-450-5100
  • Fax: 973-450-9494
Mailing address:
  • Phone: 908-458-8333
  • Fax: 908-530-6522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA10813800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: