Individual
MS. MAHAM NIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
764 MAIN ST, PATERSON, NJ 07503-2640
(646) 401-2667
Mailing address
764 MAIN ST, PATERSON, NJ 07503-2640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04016400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28RI04016400
—
NJ
Enumeration date
05/21/2019
Last updated
05/21/2019
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