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Individual

SYED ATIF MUSTAFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 282-0911
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(862) 241-9222

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11937100
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA11937100
NJ

Other

Enumeration date
04/06/2017
Last updated
05/02/2024
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