Provider Demographics
NPI:1801273495
Name:BAIG, OSAMA
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:
Last Name:BAIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 KARWATT CT
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2217
Mailing Address - Country:US
Mailing Address - Phone:732-675-0123
Mailing Address - Fax:732-387-2490
Practice Address - Street 1:655 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3159
Practice Address - Country:US
Practice Address - Phone:732-510-7358
Practice Address - Fax:732-387-2490
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-03
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ594522146N00000X
NJ1211081341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No341600000XTransportation ServicesAmbulance