NPI 1003279308

Medisol, LLC

Organisation Child & Adolescent Psychiatry Physician Piscataway, NJ

Practice location

Address: 226 Fisher Ave, Piscataway, NJ 08854-4833
Phone: (214) 444-9864
Mailing address: 10201 Perkins Dr, Irving, TX 75063-5365

Authorised official

Name: Tahir Khwaja
Title: President
Phone: (917) 287-8207

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Other Psychiatry & Neurology providers in New Jersey →

Registry record

NPI: 1003279308
Entity type: Organization
NPI issued: 4 Apr 2016
Record last updated: 4 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.