Provider Demographics
NPI:1326054008
Name:HUSAIN, SYED ASIF (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ASIF
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1245 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:SUITE 411
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3831
Mailing Address - Country:US
Mailing Address - Phone:609-581-2000
Mailing Address - Fax:609-581-5450
Practice Address - Street 1:1245 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 411
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-3831
Practice Address - Country:US
Practice Address - Phone:609-581-2000
Practice Address - Fax:609-581-5450
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA67101207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
0148186000OtherKEYSTONE
P2059936OtherOXFORD
223381766OtherTAX ID
142409OtherAMERIHEALTH
5844697OtherAETNA
NJ8003203Medicaid
P2059936OtherOXFORD
G93073Medicare UPIN