Basic Information
| Provider Information | |||||||||
| NPI: | 1518982388 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SALEEM HUSAIN MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1314 PARK AVE | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | PLAINFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082228970 | ||||||||
| FaxNumber: | 9082228762 | ||||||||
| Practice Location | |||||||||
| Address1: | 1314 PARK AVE | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | PLAINFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082228970 | ||||||||
| FaxNumber: | 9082228762 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 01/14/2010 | ||||||||
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| AuthorizedOfficialLastName: | HUSAIN | ||||||||
| AuthorizedOfficialFirstName: | SALEEM | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9082228970 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD FACC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.