Individual
JOHANNA K SHAHEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 HOBSON ST, NEWARK, NJ 07112-1308
(862) 596-8255
Mailing address
61 HOBSON ST, NEWARK, NJ 07112-1308
(862) 596-8255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00651600
NJ
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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