Basic Information
Provider Information
NPI: 1942694419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARSHAD
FirstName: HAROON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14 WESTMINSTER DR
Address2:  
City: MONTVILLE
State: NJ
PostalCode: 070459655
CountryCode: US
TelephoneNumber: 9179405448
FaxNumber:  
Practice Location
Address1: 565 W 125TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100273424
CountryCode: US
TelephoneNumber: 9179405448
FaxNumber: 9736274908
Other Information
ProviderEnumerationDate: 03/23/2015
LastUpdateDate: 11/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X25MA10165100NJN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X296393NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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