Healthcare Provider Details

I. General information

NPI: 1861197394
Provider Name (Legal Business Name): MUZAYYAN SYED HAQ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 BRIDGE ST BLDG G
METUCHEN NJ
08840-2294
US

IV. Provider business mailing address

249 BRIDGE ST BLDG G
METUCHEN NJ
08840-2294
US

V. Phone/Fax

Practice location:
  • Phone: 732-516-1060
  • Fax:
Mailing address:
  • Phone: 732-516-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number25MB12962300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberW1428
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: