Provider Demographics
NPI:1083893119
Name:AHMED, HINA F (PA-C)
Entity Type:Individual
Prefix:
First Name:HINA
Middle Name:F
Last Name:AHMED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-5138
Mailing Address - Country:US
Mailing Address - Phone:609-750-7101
Mailing Address - Fax:
Practice Address - Street 1:234 INDUSTRIAL WAY W STE A104
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-4263
Practice Address - Country:US
Practice Address - Phone:732-918-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00185900363A00000X
NY011098-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant