Healthcare Provider Details

I. General information

NPI: 1467432849
Provider Name (Legal Business Name): SUHAIB G NASHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SUHAIB G AL-NASHI M.D.

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 JAMES ST 1 G
MORRISTOWN NJ
07960-6392
US

IV. Provider business mailing address

261 JAMES ST 1 G
MORRISTOWN NJ
07960-6392
US

V. Phone/Fax

Practice location:
  • Phone: 973-540-9393
  • Fax: 973-540-1937
Mailing address:
  • Phone: 973-540-9393
  • Fax: 973-540-1937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA06448000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: