Provider Demographics
NPI:1316240344
Name:MIDDLESEX EAR NOSE THROAT HEAD &
Entity type:Organization
Organization Name:MIDDLESEX EAR NOSE THROAT HEAD &
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-396-9660
Mailing Address - Street 1:534 INMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-1134
Mailing Address - Country:US
Mailing Address - Phone:732-396-9660
Mailing Address - Fax:732-827-0788
Practice Address - Street 1:534 INMAN AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-1134
Practice Address - Country:US
Practice Address - Phone:732-396-9660
Practice Address - Fax:732-827-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA47171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC90303Medicare UPIN