Provider Demographics
NPI:1700135472
Name:MAJEED, ASRA
Entity Type:Individual
Prefix:DR
First Name:ASRA
Middle Name:
Last Name:MAJEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 PIERCE ST
Mailing Address - Street 2:APARTMENT 1331
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1243
Mailing Address - Country:US
Mailing Address - Phone:859-420-8023
Mailing Address - Fax:
Practice Address - Street 1:199 PIERCE ST
Practice Address - Street 2:APARTMENT 1331
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1243
Practice Address - Country:US
Practice Address - Phone:859-420-8023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09168900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine