MEDICARE: DR. NADIA ALI M.D

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
1	207R00000X	Internal Medicine Physician	25MA08142900	NJ

General Provider Information

NPI Number	:	1487728861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADIA ALI M.D

Provider Business Mailing Address
First Line	:	986 SHOPPES BOULEVARD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-2776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	986 SHOPPES BOULEVARD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-2776
Country	:	US
Telephone Number	:	732-497-5000
Fax Number	:	732-497-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	02/06/2013

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