Provider Demographics
NPI:1861447260
Name:UNWALA, ASHFAQUE A (MD)
Entity type:Individual
Prefix:
First Name:ASHFAQUE
Middle Name:A
Last Name:UNWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0101
Practice Address - Street 1:698 MULLICA HILL RD STE 330
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-4453
Practice Address - Country:US
Practice Address - Phone:856-845-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA49960207RI0011X
NJ25MA04996000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0853447OtherCIGNA
PA0100180000OtherPENNSYLVANIA BLUE SHIELD
NJ1092191OtherHORIZON MERCY
PA433316OtherAMERIHEALTH ADMINISTRATOR
NJ57554OtherAETNA HMO
NJF04774OtherHEALTHNET
NJ222173875OtherBLUE SHIELD
PA605126POCOtherPENNSYLVANIA MEDICARE
NJP441496OtherOXFORD
NJ0100180000OtherAMERIHEALTH
NJ1222601Medicaid
NJF04774OtherHEALTHNET
PA605126POCOtherPENNSYLVANIA MEDICARE