Provider Demographics
NPI:1437511219
Name:AL OBAIDI, NAWAR (MD)
Entity Type:Individual
Prefix:
First Name:NAWAR
Middle Name:
Last Name:AL OBAIDI
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 1:707 HARMON COVE TOWER
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-1709
Mailing Address - Country:US
Mailing Address - Phone:201-392-3399
Mailing Address - Fax:201-863-6117
Practice Address - Street 1:55 MEADOWLANDS PKWY FL 3
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2977
Practice Address - Country:US
Practice Address - Phone:201-392-3399
Practice Address - Fax:201-325-6701
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10577100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty