NPI 1174054167

Doctor Omar Awan LLC

Organisation Health Maintenance Organization Woodbridge, NJ

Practice location

Address: 900 Woodbridge Center Dr, Woodbridge, NJ 07095-1324
Phone: (732) 397-6000
Mailing address: 42 Highview Dr, Woodbridge, NJ 07095-3904

Authorised official

Name: Omar Q Awan
Title: MD
Phone: (732) 397-6000

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1174054167
Entity type: Organization
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

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.