Provider Demographics
NPI:1639126717
Name:NAZIR, MUNIR A (MD)
Entity Type:Individual
Prefix:
First Name:MUNIR
Middle Name:A
Last Name:NAZIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 STATION RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1150
Mailing Address - Country:US
Mailing Address - Phone:732-332-0731
Mailing Address - Fax:815-366-8115
Practice Address - Street 1:201 LYONS AVE
Practice Address - Street 2:NEWARK BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2027
Practice Address - Country:US
Practice Address - Phone:973-926-4882
Practice Address - Fax:973-923-7497
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05154300207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0781100Medicaid
NJ0781100Medicaid
NJB41261Medicare UPIN