Provider Demographics
NPI:1285623132
Name:JANJUA, TANVEER AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:TANVEER
Middle Name:AHMED
Last Name:JANJUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2345 LAMINGTON RD
Mailing Address - Street 2:SUITE # 108
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2612
Mailing Address - Country:US
Mailing Address - Phone:908-470-2600
Mailing Address - Fax:908-470-1660
Practice Address - Street 1:2345 LAMINGTON RD
Practice Address - Street 2:SUITE # 108
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2612
Practice Address - Country:US
Practice Address - Phone:908-470-2600
Practice Address - Fax:908-470-1660
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72835207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG91008Medicare UPIN
NJ051773Medicare PIN