Healthcare Provider Details

I. General information

NPI: 1801987086
Provider Name (Legal Business Name): IQBAL AND KHAN SURGICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MAGNOLIA AVE STE E
BRIDGETON NJ
08302
US

IV. Provider business mailing address

10 MAGNOLIA AVE STE E
BRIDGETON NJ
08302
US

V. Phone/Fax

Practice location:
  • Phone: 856-455-2399
  • Fax: 856-451-7791
Mailing address:
  • Phone: 856-455-2399
  • Fax: 856-451-7791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAUVEED IQBAL
Title or Position: PRESIDENT
Credential: MD
Phone: 856-455-2399