Antwan Ahad Pc | |
1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 | |
(201) 863-6101 | |
(201) 863-7777 |
Full Name | Antwan Ahad Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1265 Paterson Plank Rd Ste 3a, Secaucus, New Jersey |
Authorized Official Name and Position | Antwan Ahad (PRESIDENT/OWNER) |
Authorized Official Contact | 2018636101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Antwan Ahad Pc 1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 Ph: (201) 863-6101 | Antwan Ahad Pc 1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 Ph: (201) 863-6101 |
NPI Number | 1316281926 |
---|---|
Provider Enumeration Date | 11/20/2012 |
Last Update Date | 08/18/2020 |
Certification Date | 08/18/2020 |
Medicare PECOS PAC ID | 8123271988 |
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Medicare Enrollment ID | O20130104000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316281926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 25MA06226900 (New Jersey) | Primary |
Provider Name | Antwan Ahad |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1083729917 PECOS PAC ID: 4688645716 Enrollment ID: I20040803000947 |
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