Healthcare Provider Details

I. General information

NPI: 1568873115
Provider Name (Legal Business Name): ZOBIDA ALIGOUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ROUTE 3
CLIFTON NJ
07012-2328
US

IV. Provider business mailing address

115 IRVINGTON RD
TEANECK NJ
07666-6303
US

V. Phone/Fax

Practice location:
  • Phone: 973-777-6767
  • Fax:
Mailing address:
  • Phone: 201-837-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD466977
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA10151500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: