Individual
AQSA INKISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 RTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4267
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10718900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2016
Last updated
11/21/2023
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