Provider Demographics
NPI:1821716085
Name:MEHNAZ A HAQ MD
Entity Type:Organization
Organization Name:MEHNAZ A HAQ MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEHNAZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-951-8585
Mailing Address - Street 1:2648 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1021
Mailing Address - Country:US
Mailing Address - Phone:732-951-8585
Mailing Address - Fax:732-951-9112
Practice Address - Street 1:2648 ROUTE 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1021
Practice Address - Country:US
Practice Address - Phone:732-951-8585
Practice Address - Fax:732-951-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty