Individual
ALIYA FAYAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 DAVIDSON MILL RD, NORTH BRUNSWICK, NJ 08902-4751
(732) 491-3619
Mailing address
55 DAVIDSON MILL RD, NORTH BRUNSWICK, NJ 08902-4751
(732) 491-3619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01082800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01082800
NJ
Other
Enumeration date
12/09/2020
Last updated
04/26/2024
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