| Antwan Ahad Pc | |
|
1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 | |
| (201) 863-6101 | |
| (201) 863-7777 |
| Full Name | Antwan Ahad Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1265 Paterson Plank Rd Ste 3a, Secaucus, New Jersey |
| Authorized Official Name and Position | Antwan Ahad (PRESIDENT/OWNER) |
| Authorized Official Contact | 2018636101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antwan Ahad Pc 1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 Ph: (201) 863-6101 | Antwan Ahad Pc 1265 Paterson Plank Rd Ste 3a Secaucus NJ 07094-3242 Ph: (201) 863-6101 |
| NPI Number | 1316281926 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Medicare PECOS PAC ID | 8123271988 |
|---|---|
| Medicare Enrollment ID | O20130104000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316281926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA06226900 (New Jersey) | Primary |
| Provider Name | Antwan Ahad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083729917 PECOS PAC ID: 4688645716 Enrollment ID: I20040803000947 |
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