Provider Demographics
NPI:1174536114
Name:ALLADIN, IRFAN A (MD)
Entity type:Individual
Prefix:
First Name:IRFAN
Middle Name:A
Last Name:ALLADIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1279 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4904
Mailing Address - Country:US
Mailing Address - Phone:973-794-4704
Mailing Address - Fax:973-794-4707
Practice Address - Street 1:1279 RT 46 EAST
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-0000
Practice Address - Country:US
Practice Address - Phone:973-794-4704
Practice Address - Fax:973-794-4707
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA076581002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI12780Medicare UPIN
NJ081739Medicare ID - Type Unspecified