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Individual

DR. AISSATA DIAWARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
239 HURFFVILLE CROSSKEYS RD STE 480A, SEWELL, NJ 08080-4002
(856) 988-3444
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA11989900
NJ
2084P0800X
Psychiatry Physician
25MA11989900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0983373
NJ
Enumeration date
04/17/2017
Last updated
11/19/2024
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