Provider Demographics
NPI:1003872268
Name:ZUBAIR, MOHAMMAD A (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:A
Last Name:ZUBAIR
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 1:900 WOODBRIDGE CTR DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1324
Mailing Address - Country:US
Mailing Address - Phone:732-636-4111
Mailing Address - Fax:732-636-7060
Practice Address - Street 1:900 WOODBRIDGE CTR DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1324
Practice Address - Country:US
Practice Address - Phone:732-636-4111
Practice Address - Fax:732-636-7060
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58143207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6523307Medicaid
NJ644898Medicare PIN
NJ6523307Medicaid