Provider Demographics
NPI:1063515435
Name:NAHAS, BARBARA A (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:NAHAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 OLD SHORT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-1437
Mailing Address - Country:US
Mailing Address - Phone:973-379-2700
Mailing Address - Fax:973-379-5733
Practice Address - Street 1:530 OLD SHORT HILLS RD
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-1437
Practice Address - Country:US
Practice Address - Phone:973-379-2700
Practice Address - Fax:973-379-5733
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA41509207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44278OtherAETNA
NJP75827061OtherMULTIPLAN
181255Medicare ID - Type Unspecified
NJ44278OtherAETNA