# YASMEEN NAZLI MD MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912493313
- **Authorized official:** YASMEEN NAZLI MD (OWNER)
- **Authorized official phone:** (631) 943-9669

## Contact information

- **Practice address:** 112 KNICKERBOCKER RD, DEMAREST, NJ 07627-1026
- **Practice address phone:** (856) 221-8225
- **Practice address fax:** (201) 331-3637
- **Mailing address:** 112 KNICKERBOCKER RD, DEMAREST, NJ 07627-1026
- **Mailing address phone:** (856) 221-8225
- **Mailing address fax:** (201) 331-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0450244746 | NJ | Yes |

## Other

- **Enumeration date:** 07/09/2018
- **Last updated:** 07/09/2018