Provider Demographics
NPI:1699944066
Name:SALAHUDDIN, NASREEN K (MD)
Entity type:Individual
Prefix:
First Name:NASREEN
Middle Name:K
Last Name:SALAHUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 OAK AVE
Mailing Address - Street 2:NORTH DOVER OB-GYN ASSOCIATES
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3348
Mailing Address - Country:US
Mailing Address - Phone:732-914-1919
Mailing Address - Fax:732-914-0210
Practice Address - Street 1:222 OAK AVE
Practice Address - Street 2:NORTH DOVER OB-GYN ASSOCIATES
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3348
Practice Address - Country:US
Practice Address - Phone:732-914-1919
Practice Address - Fax:732-914-0210
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08346200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA08346200OtherD09223200