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NPI Code Detail

MEDICARE: AMER H KASHOQA M.D.

MEDICARE:   AMER H KASHOQA  M.D.
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
12084P0800XPsychiatry Physician25MA05742700NJ

Other Identifiers

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

General Provider Information

NPI Number : 1972615078
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMER H KASHOQA M.D.
Provider Business Mailing Address
First Line : 506 HAMBURG TPKE
Second Line : SUITE 203
City : WAYNE
State : NJ
Zip : 07470-2068
Country : US
Telephone Number : 973-633-1996
Fax Number : 973-633-8078
Provider Business Practice Location Address
First Line : 506 HAMBURG TPKE
Second Line : SUITE 203
City : WAYNE
State : NJ
Zip : 07470-2069
Country : US
Telephone Number : 973-633-1996
Fax Number : 973-633-8078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/06/2016

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