MEDICARE: MANZOOR UN NISA 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	207RI0200X	Infectious Disease Physician	25MA12844800	NJ

General Provider Information

NPI Number	:	1942839212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANZOOR UN NISA MD

Provider Business Mailing Address
First Line	:	98 JAMES ST
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-3902
Country	:	US
Telephone Number	:	732-230-2828
Fax Number	:	732-230-2479

Provider Business Practice Location Address
First Line	:	98 JAMES ST STE 200
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-3902
Country	:	US
Telephone Number	:	732-230-2828
Fax Number	:

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

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	03/10/2026

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Directions to “ MANZOOR UN NISA MD” Practice Location

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