Basic Information
| Provider Information | |||||||||
| NPI: | 1073197091 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SYED | ||||||||
| FirstName: | OMAR | ||||||||
| MiddleName: | ZIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 373 HUFF RD | ||||||||
| Address2: | |||||||||
| City: | NORTH BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 089022720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8486676664 | ||||||||
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| Practice Location | |||||||||
| Address1: | THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION | ||||||||
| Address2: | 501 SOUTH WASHINGTON AVENUE, SCRANTON , PA 18505 | ||||||||
| City: | SCRANTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705915153 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2021 | ||||||||
| LastUpdateDate: | 05/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.