Provider Demographics
NPI:1285784181
Name:HOBOKEN ALLERGY & ASTHMA SPECIALISTS
Entity type:Organization
Organization Name:HOBOKEN ALLERGY & ASTHMA SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNIRIH
Authorized Official - Middle Name:N
Authorized Official - Last Name:TAHZIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-792-1109
Mailing Address - Street 1:79 HUDSON ST
Mailing Address - Street 2:SUITE 302A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5638
Mailing Address - Country:US
Mailing Address - Phone:201-792-1109
Mailing Address - Fax:201-792-1145
Practice Address - Street 1:79 HUDSON ST
Practice Address - Street 2:SUITE 302A
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5638
Practice Address - Country:US
Practice Address - Phone:201-792-1109
Practice Address - Fax:201-792-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07843300207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty