Provider Demographics
NPI:1588804678
Name:GILANI PEDIATRICS L.L.C
Entity type:Organization
Organization Name:GILANI PEDIATRICS L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:AMBREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-787-4220
Mailing Address - Street 1:16 HORSENECK RD
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9302
Mailing Address - Country:US
Mailing Address - Phone:973-794-3170
Mailing Address - Fax:973-774-7033
Practice Address - Street 1:118 N BEVERWYCK RD
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA
Practice Address - State:NJ
Practice Address - Zip Code:07034-2294
Practice Address - Country:US
Practice Address - Phone:973-794-3170
Practice Address - Fax:973-774-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA078316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty