Individual
KULSUMA AKHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN AVE, CLIFTON, NJ 07011-2157
(973) 772-6999
Mailing address
216 W 4TH ST, CLIFTON, NJ 07011-2422
(973) 572-5259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00480100
NJ
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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