| Organization Name: | AHMAD KAZEMI MD PA |
| NPI Number: | 1730491812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AHMAD KAZEMI (PRESIDENT) |
| Mailing Address: | 562 Boulevard Kenilworth |
| State: | NJ US |
| Postal Code: | 07033 |
| Phone Number: | 9082721300 |
| Fax Number: | 9082723231 |
| NPI Enumeration Date: | 07/06/2010 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |