Provider Demographics
NPI:1457451544
Name:TAIMUR ZAMAN,MD.PC
Entity Type:Organization
Organization Name:TAIMUR ZAMAN,MD.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAIRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-926-2160
Mailing Address - Street 1:2333 MORRIS AVE
Mailing Address - Street 2:SUITE A-13
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5714
Mailing Address - Country:US
Mailing Address - Phone:908-964-9931
Mailing Address - Fax:973-391-1276
Practice Address - Street 1:2333 MORRIS AVE
Practice Address - Street 2:SUITE A-13
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5714
Practice Address - Country:US
Practice Address - Phone:908-964-9931
Practice Address - Fax:973-391-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA054169002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF05167Medicare UPIN
NJ893063Medicare ID - Type Unspecified