Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tariq Mushtaque, MDCNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1790114916

Tariq Mushtaque, MDCNIM is an Electroneurodiagnostic Specialist/Technologist in Fairfield, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1591
Phone: (973) 882-3456
Fax: (973) 882-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1790114916
Entity typeIndividual (Type 1)
GenderMale
Credentials MDCNIM
Sole proprietorYes
NPI enumeratedNovember 7, 2013
Last updated in NPPESMay 8, 2014

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