Individual
RAEESA ASHFAQ SOOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 SAINT GEORGES AVE, RAHWAY, NJ 07065-2542
(732) 381-3642
(732) 396-4463
Mailing address
546 SAINT GEORGES AVE, RAHWAY, NJ 07065-2542
(732) 381-3642
(732) 396-4463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12780100
NJ
207RN0300X
Nephrology Physician
25MA12780100
NJ
Other
Enumeration date
04/12/2020
Last updated
08/19/2025
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