Provider Demographics
NPI:1033979448
Name:AZZ MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:AZZ MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-890-1050
Mailing Address - Street 1:1440 PENNINGTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2669
Mailing Address - Country:US
Mailing Address - Phone:609-594-5827
Mailing Address - Fax:609-890-0950
Practice Address - Street 1:1440 PENNINGTON RD STE 1
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-2669
Practice Address - Country:US
Practice Address - Phone:609-594-5827
Practice Address - Fax:609-890-0950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AZZ MEDICAL ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty