| Nudrat F Ayub Md Llc | |
|
166 Lyons Ave Newark NJ 07112-2016 | |
| (973) 926-3444 | |
| Not Available |
| Full Name | Nudrat F Ayub Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 166 Lyons Ave, Newark, New Jersey |
| Authorized Official Name and Position | Nudrat F Ayub (MEMBER) |
| Authorized Official Contact | 9739263444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nudrat F Ayub Md Llc 166 Lyons Ave Newark NJ 07112-2016 Ph: (973) 926-3444 | Nudrat F Ayub Md Llc 166 Lyons Ave Newark NJ 07112-2016 Ph: (973) 926-3444 |
| NPI Number | 1609012525 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 12/23/2008 |
| Medicare PECOS PAC ID | 9537224514 |
|---|---|
| Medicare Enrollment ID | O20090209000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609012525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08288800 (New Jersey) | Primary |
| Provider Name | Nudrat F Ayub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430774 PECOS PAC ID: 4789769423 Enrollment ID: I20080305000647 |
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