MEDICARE: DR. WAFA QAMAR DO

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	207Q00000X	Family Medicine Physician	25MB11047000	NJ

General Provider Information

NPI Number	:	1770964967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAFA QAMAR DO

Provider Business Mailing Address
First Line	:	3600 ROUTE 66 FL 4
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	732-571-1000
Fax Number	:	732-571-1156

Provider Business Practice Location Address
First Line	:	3600 ROUTE 66 FL 4
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	732-571-1000
Fax Number	:	732-571-1156

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

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	03/06/2025

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