MEDICARE: NORTH BRUNSWICK MEDICAL ASSOCIATES

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	261QP2300X	Primary Care Clinic/Center	25MA08142900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1356596761	OTHER	NJ	NPI- PROVIDER IS ROHAIL ASRAR, MD

General Provider Information

NPI Number	:	1861762197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BRUNSWICK MEDICAL ASSOCIATES

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

Provider Business Practice Location Address
First Line	:	986 SHOPPES BLVD
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	:	INTERNIST
Name	:	DR. ROHAIL ASRAR
Credential	:	MD
Telephone Number	:	407-496-7423

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	02/05/2013

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