Provider Demographics
NPI:1497959696
Name:SYED, ZAREEN TAJ (MD)
Entity Type:Individual
Prefix:
First Name:ZAREEN
Middle Name:TAJ
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:629 AMBOY AVE FL 3
Mailing Address - Street 2:302
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3579
Mailing Address - Country:US
Mailing Address - Phone:732-661-9120
Mailing Address - Fax:732-661-9150
Practice Address - Street 1:629 AMBOY AVE FL 3
Practice Address - Street 2:302
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3579
Practice Address - Country:US
Practice Address - Phone:732-661-9120
Practice Address - Fax:732-661-9150
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2012-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25 MA08577100207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0221279Medicaid
NJ257294Medicare PIN