Provider Demographics
NPI:1003852542
Name:QUDSI, TEHSIN RIAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:TEHSIN
Middle Name:RIAZ
Last Name:QUDSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27 S COOKS BRIDGE RD
Mailing Address - Street 2:SUITE 2-21
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2524
Mailing Address - Country:US
Mailing Address - Phone:732-987-5733
Mailing Address - Fax:732-987-5729
Practice Address - Street 1:27 S COOKS BRIDGE RD
Practice Address - Street 2:SUITE 2-21
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2524
Practice Address - Country:US
Practice Address - Phone:732-987-5733
Practice Address - Fax:732-987-5729
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05807600208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics