Individual
DR. NISRIN Q DAHODWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
290 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1855
(609) 567-7882
(609) 567-3000
Mailing address
290 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1855
(609) 567-7882
(609) 567-3000
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA057870
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5188202
—
NJ
Enumeration date
04/27/2006
Last updated
01/11/2016
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