Provider Demographics
NPI:1578501615
Name:NARVEL, WASIQUE A (MD)
Entity type:Individual
Prefix:DR
First Name:WASIQUE
Middle Name:A
Last Name:NARVEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 E CHESTNUT AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-7847
Mailing Address - Country:US
Mailing Address - Phone:856-692-3161
Mailing Address - Fax:844-722-0398
Practice Address - Street 1:3071 E CHESTNUT AVE STE A1
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-7847
Practice Address - Country:US
Practice Address - Phone:856-692-3161
Practice Address - Fax:844-722-0398
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07233300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00349232OtherRAILROAD MEDICARE
NJ8577005Medicaid
NJ050374Medicare ID - Type Unspecified
NJH46277Medicare UPIN