Provider Demographics
NPI:1932448925
Name:MEDICSURG
Entity Type:Organization
Organization Name:MEDICSURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IIRFAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLADIN
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:973-225-0733
Mailing Address - Street 1:680 BROADWAY STE 204
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1527
Mailing Address - Country:US
Mailing Address - Phone:973-225-0733
Mailing Address - Fax:212-671-1414
Practice Address - Street 1:680 BROADWAY STE 204
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1527
Practice Address - Country:US
Practice Address - Phone:973-225-0733
Practice Address - Fax:212-671-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty