Individual
DR. NYLAH F WASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 BRUNSWICK AVE, DEPT OF RADIOLOGY, TRENTON, NJ 08638
(609) 815-7532
Mailing address
750 BRUNSWICK AVE DEPT OF, TRENTON, NJ 08638-4143
(609) 815-7532
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD436420
PA
390200000X
Student in an Organized Health Care Education/Training Program
0116017532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236080
—
NJ
05
—
102481530
—
PA
Enumeration date
06/20/2008
Last updated
06/20/2018
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