Individual
DR. MARYAM ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
82 CHESTNUT HILL DR, NEW PROVIDENCE, NJ 07974-2711
(650) 862-6107
(650) 862-6107
Mailing address
82 CHESTNUT HILL DR, NEW PROVIDENCE, NJ 07974-2711
(650) 862-6107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02584300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
03/17/2018
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