Provider Demographics
NPI:1861762197
Name:NORTH BRUNSWICK MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:NORTH BRUNSWICK MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-496-7423
Mailing Address - Street 1:986 SHOPPES BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902
Mailing Address - Country:US
Mailing Address - Phone:732-497-5000
Mailing Address - Fax:732-497-5001
Practice Address - Street 1:986 SHOPPES BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2776
Practice Address - Country:US
Practice Address - Phone:732-497-5000
Practice Address - Fax:732-497-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08142900261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1356596761OtherNPI- PROVIDER IS ROHAIL ASRAR, MD