Provider Demographics
NPI:1477900330
Name:UZUN, OZCAN (MD,DO)
Entity Type:Individual
Prefix:
First Name:OZCAN
Middle Name:
Last Name:UZUN
Suffix:
Gender:M
Credentials:MD,DO
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 1594
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08855-1594
Mailing Address - Country:US
Mailing Address - Phone:732-763-2264
Mailing Address - Fax:
Practice Address - Street 1:76 LIVINGSTON AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2575
Practice Address - Country:US
Practice Address - Phone:732-543-0600
Practice Address - Fax:855-854-6422
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10421700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0692271Medicaid