Individual
MOHAMMAD WAQAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Contact information
Practice address
28 S NEW YORK RD STE C4, GALLOWAY, NJ 08205-9712
(609) 652-0555
Mailing address
28 S NEW YORK RD STE C4, GALLOWAY, NJ 08205-9712
(609) 652-0555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00989600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00989600
NJ
Other
Enumeration date
11/26/2019
Last updated
01/27/2025
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