Provider Demographics
NPI:1780888966
Name:MALJIAN, MEROUJAN ARDZIV (MD)
Entity type:Individual
Prefix:DR
First Name:MEROUJAN
Middle Name:ARDZIV
Last Name:MALJIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 SHADOW OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2223
Mailing Address - Country:US
Mailing Address - Phone:732-940-0981
Mailing Address - Fax:
Practice Address - Street 1:UMDNJ-UCHC-COLPITTS MODULAR UNIT, WHITTLESEY RD.
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08625
Practice Address - Country:US
Practice Address - Phone:609-341-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL163262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry