Provider Demographics
NPI:1770751513
Name:ABDUL-NOOR, FARID (MD)
Entity type:Individual
Prefix:DR
First Name:FARID
Middle Name:
Last Name:ABDUL-NOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FARID
Other - Middle Name:A
Other - Last Name:NOOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:36 NEWARK AVE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-4119
Mailing Address - Country:US
Mailing Address - Phone:973-751-2060
Mailing Address - Fax:
Practice Address - Street 1:36 NEWARK AVE
Practice Address - Street 2:SUITE 324
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-4119
Practice Address - Country:US
Practice Address - Phone:973-751-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ49694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine