Individual
AYESHA FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8700
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(201) 912-1762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
25MP00879600
NJ
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/15/2024
Last updated
10/14/2024
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