Basic Information
Provider Information
NPI: 1215124714
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUZBARI
FirstName: OUMAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 227 LAUREL RD
Address2: STE 300
City: VOORHEES
State: NJ
PostalCode: 080438303
CountryCode: US
TelephoneNumber: 8566696050
FaxNumber:  
Practice Location
Address1: 400 LIPPINCOTT DR
Address2: SUITE#130
City: MARLTON
State: NJ
PostalCode: 080534161
CountryCode: US
TelephoneNumber: 8565962233
FaxNumber: 8565962411
Other Information
ProviderEnumerationDate: 09/27/2007
LastUpdateDate: 11/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VE0102X25MA09258500NJY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

No ID Information.


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