Provider Demographics
NPI:1427185511
Name:SAFDAR, FEROZ (MD)
Entity Type:Individual
Prefix:DR
First Name:FEROZ
Middle Name:
Last Name:SAFDAR
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 1:3606 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2610
Mailing Address - Country:US
Mailing Address - Phone:609-587-9140
Mailing Address - Fax:609-584-9628
Practice Address - Street 1:3606 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-2610
Practice Address - Country:US
Practice Address - Phone:609-587-9140
Practice Address - Fax:609-584-9628
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03296700207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSA154794Medicare ID - Type Unspecified
NJC53611Medicare UPIN