Healthcare Provider Details

I. General information

NPI: 1477840262
Provider Name (Legal Business Name): M U REHMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 GREENBROOK RD
NORTH PLAINFIELD NJ
07060-3903
US

IV. Provider business mailing address

PO BOX 7057
WATCHUNG NJ
07069-0799
US

V. Phone/Fax

Practice location:
  • Phone: 908-899-1549
  • Fax: 206-202-3153
Mailing address:
  • Phone: 908-899-1549
  • Fax: 206-202-3153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number25MA08371300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number25MA08371300
License Number StateNJ

VIII. Authorized Official

Name: DR. MUHAMMAD U REHMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 908-899-1549