Basic Information
| Provider Information | |||||||||
| NPI: | 1770612111 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KAZMI | ||||||||
| FirstName: | AASIM | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 DAVIS AVE | ||||||||
| Address2: | 4TH FL-NEURO | ||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077534488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7329740003 | ||||||||
| FaxNumber: | 7329740366 | ||||||||
| Practice Location | |||||||||
| Address1: | 2101 ROUTE 34 | ||||||||
| Address2: | SUITE D | ||||||||
| City: | WALL TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077199104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7329740003 | ||||||||
| FaxNumber: | 7329740443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2007 | ||||||||
| LastUpdateDate: | 03/09/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 25MA08743100 | NJ | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.