Provider Demographics
NPI:1770612111
Name:KAZMI, AASIM S (MD)
Entity type:Individual
Prefix:DR
First Name:AASIM
Middle Name:S
Last Name:KAZMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 DAVIS AVE
Mailing Address - Street 2:4TH FL-NEURO
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4488
Mailing Address - Country:US
Mailing Address - Phone:732-974-0003
Mailing Address - Fax:732-974-0366
Practice Address - Street 1:2101 ROUTE 34
Practice Address - Street 2:SUITE D
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9104
Practice Address - Country:US
Practice Address - Phone:732-974-0003
Practice Address - Fax:732-974-0443
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08743100207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery