Individual
HAJERA AZAM ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
42 SOMERSET ST, NORTH PLAINFIELD, NJ 07060-4828
(973) 216-5905
Mailing address
40 BLOOMFIELD AVE, PINE BROOK, NJ 07058-9707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02684700
NJ
Other
Enumeration date
08/14/2017
Last updated
04/30/2019
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