Individual
MIRZA ADNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E CRESCENT AVE STE 305, UPPER SADDLE RIVER, NJ 07458-1846
(845) 738-8770
Mailing address
482 GENESEE AVE FL 1, STATEN ISLAND, NY 10312-3206
(347) 662-9009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P125651
NY
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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