Provider Demographics
NPI:1518997360
Name:HOSSAIN, NAZMA AKHTAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZMA
Middle Name:AKHTAR
Last Name:HOSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:670 YORKTOWN PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2208
Mailing Address - Country:US
Mailing Address - Phone:201-652-4045
Mailing Address - Fax:291-652-7233
Practice Address - Street 1:26-01 BROADWAY
Practice Address - Street 2:SUITE 105
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3861
Practice Address - Country:US
Practice Address - Phone:201-703-3664
Practice Address - Fax:201-652-7233
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA058840207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF49724Medicare UPIN