Provider Demographics
NPI:1194793836
Name:MUNTAZAR, MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:MUNTAZAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER ANESTHESIA ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-968-7334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439524207L00000X
OK21343207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4936196OtherCIGNA
NJ2742379000OtherAMERIHEALTH
NJ60028042OtherHORIZON NJ HEALTH
NJ2082246OtherUNITED HEALTHCARE
OK100821910BMedicaid
NJ60028040OtherHORIZON NJ HEALTH
NJ0108162Medicaid
NJ1314502OtherAETNA
NJ01077778000OtherAMERICHOICE
NJ1314503OtherAETNA
OK24R600629Medicare ID - Type Unspecified
NJ60028042OtherHORIZON NJ HEALTH
NJ60028040OtherHORIZON NJ HEALTH
NJ2742379000OtherAMERIHEALTH