Healthcare Provider Details

I. General information

NPI: 1881631398
Provider Name (Legal Business Name): MAQSOOD AMJAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 05/20/2023
Certification Date: 05/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON BLVD STE 9
ROBBINSVILLE NJ
08691-3162
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 732-314-0540
  • Fax: 609-934-4140
Mailing address:
  • Phone: 732-390-7750
  • Fax: 732-390-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA06660700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: