Healthcare Provider Details

I. General information

NPI: 1083845234
Provider Name (Legal Business Name): HAFIZ IMRAN IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 WHITEHORSE MERCERVILLE RD STE 3&4
HAMILTON NJ
08619-1946
US

IV. Provider business mailing address

2333 WHITEHORSE MERCERVILLE RD STE 3&4
HAMILTON NJ
08619-1946
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-9111
  • Fax: 609-890-6865
Mailing address:
  • Phone: 609-890-9111
  • Fax: 609-890-6865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA10473300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: