Basic Information
| Provider Information | |||||||||
| NPI: | 1336182641 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALSHAFIE | ||||||||
| FirstName: | TAREK | ||||||||
| MiddleName: | AHMED | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | ONE WEST RIDGEWOOD AVENUE | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | PARAMUS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013893700 | ||||||||
| FaxNumber: | 2013896191 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 W RIDGEWOOD AVE | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | PARAMUS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076522359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013893700 | ||||||||
| FaxNumber: | 2013896191 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 10/31/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 25MA06880800 | NJ | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.