Doctor Name: | MR. TANWEER AHMED |
NPI Number: | 1013156975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM |
License Number: | 870 |
Business Practice Address: | 1086 Teaneck Rd Suite 4a Teaneck, NJ - 076664854 |
Business Phone Number: | 2018629900 |
Business Fax Number: | 2018629136 |
Mailing Address: | 1086 Teaneck Rd, Suite 4a TEANECK |
State: | NJ |
Postal Code: | 076664854 |
Phone Number: | 2018629900 |
Fax Number: | 2018629136 |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |