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NPI Code Detail

MEDICARE: QAIS ALLOAH MD

MEDICARE: QAIS ALLOAH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ

General Provider Information

NPI Number : 1003301151
Entity Type Code : Individual
Provider Name (Legal Business Name) : QAIS ALLOAH MD
Provider Business Mailing Address
First Line : 300 2ND AVE APT 6
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-923-9251
Fax Number : 732-923-7255
Provider Business Practice Location Address
First Line : 300 2ND AVE APT 6
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-923-9251
Fax Number : 732-923-7255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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