Provider Demographics
NPI:1922062405
Name:QAZI, RUMANA YOUSEF (MD)
Entity Type:Individual
Prefix:
First Name:RUMANA
Middle Name:YOUSEF
Last Name:QAZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 SCHOOLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5600
Mailing Address - Country:US
Mailing Address - Phone:732-831-1740
Mailing Address - Fax:
Practice Address - Street 1:2446 CHURCH RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8182
Practice Address - Country:US
Practice Address - Phone:732-255-7553
Practice Address - Fax:732-255-8901
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA067764002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine