Healthcare Provider Details

I. General information

NPI: 1861900441
Provider Name (Legal Business Name): ZAFAR JAMIL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 DR MARTIN LUTHER KING JR BLVD
NEWARK NJ
07102-2011
US

IV. Provider business mailing address

1050 WALL ST W STE 360
LYNDHURST NJ
07071-3604
US

V. Phone/Fax

Practice location:
  • Phone: 973-877-5059
  • Fax:
Mailing address:
  • Phone: 201-821-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZAFAR JAMIL
Title or Position: MD- OWNER
Credential: MD
Phone: 197-325-5934