MEDICARE: MEHDI H.NAQUI MD,PA

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	261QM2500X	Medical Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528451762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEHDI H.NAQUI MD,PA

Provider Business Mailing Address
First Line	:	1574 RTE 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1574 RTE 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MEHDI H NAQUI
Credential	:	MD
Telephone Number	:	732-297-4100

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	03/27/2015

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