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General NPI Number Information
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NPI Number | 1952706681
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Entity Type | Organization
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Legal Business Name | SHAHID MIAN MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 444 MARKET ST
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-5996
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Country | US
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Telephone | 201-853-2000
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Fax | 212-734-4037
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Provider Business Mailing Address
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Address Line | 893 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0368
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Country | US
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Telephone | 212-734-3344
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHID W MIAN
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Credential |
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Telephone | 212-734-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA08858900
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License Number State | NJ
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