Provider Demographics
NPI:1396094868
Name:SEYAL, GUZAL (MD)
Entity type:Individual
Prefix:
First Name:GUZAL
Middle Name:
Last Name:SEYAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GUZAL
Other - Middle Name:
Other - Last Name:NIYAZOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 CHRIS ANN CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3761
Mailing Address - Country:US
Mailing Address - Phone:732-925-7146
Mailing Address - Fax:
Practice Address - Street 1:200 TRENTON RD
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-1764
Practice Address - Country:US
Practice Address - Phone:098-931-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-9445208M00000X
390200000X
NJ25MA09813500208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program