Individual
DR. MIRA YAZIGI CHALET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
177 SUMMIT AVE, HACKENSACK, NJ 07601-1311
(201) 487-8222
(201) 487-2126
Mailing address
32 WEAVER ST, LITTLE FALLS, NJ 07424-1046
(973) 452-5085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10833700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/27/2017
Last updated
06/03/2020
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