Provider Demographics
NPI:1871542886
Name:ZAMAN, TAIMUR (MD)
Entity type:Individual
Prefix:
First Name:TAIMUR
Middle Name:
Last Name:ZAMAN
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 1:1A REGULUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-5710
Mailing Address - Country:US
Mailing Address - Phone:856-256-7513
Mailing Address - Fax:856-256-7518
Practice Address - Street 1:1A REGULUS DRIVE
Practice Address - Street 2:
Practice Address - City:TURMERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-5710
Practice Address - Country:US
Practice Address - Phone:856-256-7513
Practice Address - Fax:856-256-7518
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA054169002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5223601Medicaid
NJF05167Medicare UPIN
NJ5223601Medicaid