MEDICARE: NASREEN NAQUI 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
1	208000000X	Pediatrics Physician	41824	NJ

General Provider Information

NPI Number	:	1558382820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASREEN NAQUI MD

Provider Business Mailing Address
First Line	:	1574 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:	732-422-7253

Provider Business Practice Location Address
First Line	:	1574 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:	732-422-7253

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	07/08/2007

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