Individual
FIZZAH EHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 S HARRISON ST, EAST ORANGE, NJ 07018-1502
(973) 674-8373
Mailing address
1533 E 2ND ST APT A3, SCOTCH PLAINS, NJ 07076-1644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00972000
NJ
Other
Enumeration date
10/07/2025
Last updated
11/14/2025
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