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NPI Code Detail

MEDICARE: DR. MUHAMMAD FARHAN IJAZ MD

MEDICARE: DR. MUHAMMAD FARHAN IJAZ 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
1207R00000XInternal Medicine Physician25MA09539400NJ
2208M00000XHospitalist Physician53905CT

General Provider Information

NPI Number : 1235402967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD FARHAN IJAZ MD
Provider Business Mailing Address
First Line : 992 CLIFTON AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3502
Country : US
Telephone Number : 862-249-1266
Fax Number : 862-249-1267
Provider Business Practice Location Address
First Line : 992 CLIFTON AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3502
Country : US
Telephone Number : 862-249-1266
Fax Number : 862-249-1267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2012
Last Update Date : 11/02/2020

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