Individual
MARYAM HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
75 VERONICA AVE STE 205, SOMERSET, NJ 08873-5002
(732) 246-9900
(732) 246-9903
Mailing address
33 ORIOLE LN, BRANCHBURG, NJ 08876-3530
(908) 249-3390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00326500
NJ
363AS0400X
Surgical Physician Assistant
017552
NY
363AS0400X
Surgical Physician Assistant
52050
CA
Other
Enumeration date
03/14/2014
Last updated
12/29/2023
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