Provider Demographics
NPI:1134106677
Name:AWAD, MAHER (MD)
Entity Type:Individual
Prefix:MR
First Name:MAHER
Middle Name:
Last Name:AWAD
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 1:1130 HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2167
Mailing Address - Country:US
Mailing Address - Phone:732-591-9100
Mailing Address - Fax:732-219-0814
Practice Address - Street 1:1130 HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2167
Practice Address - Country:US
Practice Address - Phone:732-591-9100
Practice Address - Fax:732-219-0814
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA729752084P0800X
NY2144152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8889201Medicaid
H54106Medicare UPIN
NY071BU2Medicare PIN
NJ8889201Medicaid