Provider Demographics
NPI:1417066010
Name:KAZMI, NAJAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJAM
Middle Name:
Last Name:KAZMI
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:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-0178
Mailing Address - Country:US
Mailing Address - Phone:856-692-4244
Mailing Address - Fax:856-795-1254
Practice Address - Street 1:1051 W SHERMAN AVE
Practice Address - Street 2:SUITE 4B
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6931
Practice Address - Country:US
Practice Address - Phone:856-692-4244
Practice Address - Fax:856-794-1254
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA31656174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ29848606Medicaid
NJ29848606Medicaid