Provider Demographics
NPI:1831287416
Name:MAJID, ABDUL (MD)
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:MAJID
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 1:301 SULLIVAN WAY
Mailing Address - Street 2:
Mailing Address - City:WEST TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-3406
Mailing Address - Country:US
Mailing Address - Phone:609-633-1502
Mailing Address - Fax:609-633-8527
Practice Address - Street 1:301 SULLIVAN WAY
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3406
Practice Address - Country:US
Practice Address - Phone:609-633-1502
Practice Address - Fax:609-633-8527
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ065091C2DMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NJH75230Medicare UPIN