Provider Demographics
NPI:1235402967
Name:IJAZ, MUHAMMAD FARHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:FARHAN
Last Name:IJAZ
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 1:992 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3502
Mailing Address - Country:US
Mailing Address - Phone:862-249-1266
Mailing Address - Fax:862-249-1267
Practice Address - Street 1:992 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3502
Practice Address - Country:US
Practice Address - Phone:862-249-1266
Practice Address - Fax:862-249-1267
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09539400207R00000X
CT53905208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist