Provider Demographics
NPI:1326219023
Name:AHMED-FLOWERS, TUNIZIA (MD)
Entity Type:Individual
Prefix:
First Name:TUNIZIA
Middle Name:
Last Name:AHMED-FLOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:759 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2017
Mailing Address - Country:US
Mailing Address - Phone:973-709-0099
Mailing Address - Fax:973-709-0201
Practice Address - Street 1:759 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2017
Practice Address - Country:US
Practice Address - Phone:973-709-0099
Practice Address - Fax:973-709-0201
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08439300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ138876WC0Medicare PIN